干预的时间:评估急性胆道炎的早期与晚期内镜和手术干预
Silpa Choday1, Jad Alsheikh2, Neil Vyas3
1Department of Internal Medicine, Creighton University School of Medicine, Phoenix, AZ 85012, United States. ushilpa19@gmail.com.
早期内镜逆行性胆血管细胞造影 (ERCP) 改善了急性胆炎 (AC) 管理的结果. 腹腔镜常见胆管探测 (LCBDE) 显示了更长的停留时间和更高的成本,特别是当延迟时.
科学领域:
- 胃肠病学和肝病学
- 手术管理的手术管理.
- 医疗干预 医疗干预
背景情况:
- 急性胆道炎 (AC) 涉及胆道树感染和炎症,通常是由于阻塞.
- 及时和有效的管理对于患者的治疗结果至关重要.
研究的目的:
- 为了比较ERCP和LCBDE对AC管理的结果.
- 专注于时间,并发症和资源利用.
主要方法:
- 从2016年至2021年对31817名患者的回顾性分析.
- 在ERCP (95.3%) 和LCBDE (4.67%) 队列之间进行比较.
- 分析并发症率,住院时间和费用.
主要成果:
- ERCP患者年龄较大,医疗保险使用率较高;LCBDE患者有更多的选择性入院.
- 并发症的发生率各不相同:LCBDE患者有更多的呼吸衰竭和穿孔;ERCP患者有更多的胰腺炎和黄.
- 晚期ERCP和LCBDE与更长的住院时间,更高的成本和增加的并发症有关.
结论:
- 对于AC来说,ERCP是首选的,因为早期的干预会产生更好的结果和更低的成本.
- LCBDE与长时间住院和增加开支有关,特别是在延迟时.
- 优化ERCP和LCBDE程序时间对于改善患者护理和降低医疗保健成本至关重要.
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