Journal of Capital Medical University ›› 2015, Vol. 36 ›› Issue (3): 449-453.doi: 10.3969/j.issn.1006-7795.2015.03.022

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Clinical studies on individual therapy for acute suppurative cholangitis in aged patients

Song Yong1, Huang Yachuan2, Qin Gaoping2   

  1. 1. Department of Hepatobiliary Surgery, Shaanxi Provincial People's Hospital, Xi'an 710068, China;
    2. Department of Aesthetic Plastic Surgery, Shaanxi Provincial People's Hospital, Xi'an 710068, China
  • Received:2015-02-08 Online:2015-06-21 Published:2015-06-15
  • Supported by:

    This study was supported by the China Postdoctoral Science Foundation(2014M552459), Natural Science Foundation of Xi'an City Science and Technology Department (2012D37).

Abstract:

Objective To compare endoscopic retrograde cholangio-pancreatography (ERCP) + endoscopic sphincterotomy (EST) + endoscopic nasobiliary drainage (ENBD) and percutaneous transhepatic cholangial drainage (PTCD) operation for acute obstructive suppurative cholangitis (AOSC) in aged patients with the treatment effect, and provide the basis for the treatment of AOSC operation mode selection. Methods Retrospective analysis of 93 patients with acute obstructive suppurative cholangitis in patients with clinical data of our hospital from December 2009 to January 2014, including ERCP+EST+ENBD (A group) 42 cases, PTCD 51 cases (B group), compared with the 2 methods of treatment effect.Results Totally 93 cases had successful intervention and endoscopic therapy, PTCD tolerance better drainage effect more precisely, ERCP+EST+ENBD provides a solution of calculus of bile duct obstruction cases in control of damage is minimized under the premise. Conclusion PTCD for the treatment of AOSC, the success rate is high, the drainage effect is reliable, can fully reduce the pressure of biliary tract, reduce clinical risk, creating opportunities and conditions for the two stage surgical treatment, but the ERCP+EST+ENBD in minimally invasive premise provides a solution for biliary calculi obstruction.

Key words: acute obstructive suppurative cholangitis (AOSC), percutaneous transhepatic biliary drainage (PTCD), damage control surgery(DCS)

CLC Number: