内镜逆行胰胆管造影联合SpyGlass系统治疗胆总管结石继发急性胆囊炎的效果观察
目的 比较内镜逆行胰胆管造影(ERCP)+SpyGlass系统和经皮胆囊穿刺引流术(PTGD)+ERCP治疗胆总管结石继发急性胆囊炎的安全性和有效性。 方法 回顾性分析2019年12月—2021年9月吉林市人民医院消化内科胆总管结石继发急性胆囊炎患者的临床资料，其中ERCP+SpyGlass组23例，PTGD+ERCP组19例，比较两组手术技术成功、手术操作时间、手术临床成功、手术后恢复情况、住院天数、并发症等指标。服从正态分布的计量资料组间比较采用两独立样本t检验；不符合正态分布组间比较采用Wilcoxon秩和检验。计数资料组间比较采用χ2检验或Fisher确切概率法。 结果 ERCP+Sp...
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| Published in | Linchuang gandanbing zazhi Vol. 38; no. 8; pp. 1854 - 1858 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Chinese |
| Published |
Changchun
Journal of Clinical Hepatology
01.08.2022
吉林市人民医院消化内科,吉林吉林132001 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1001-5256 2097-3497 |
| DOI | 10.3969/j.issn.1001-5256.2022.08.025 |
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| Abstract | 目的 比较内镜逆行胰胆管造影(ERCP)+SpyGlass系统和经皮胆囊穿刺引流术(PTGD)+ERCP治疗胆总管结石继发急性胆囊炎的安全性和有效性。 方法 回顾性分析2019年12月—2021年9月吉林市人民医院消化内科胆总管结石继发急性胆囊炎患者的临床资料，其中ERCP+SpyGlass组23例，PTGD+ERCP组19例，比较两组手术技术成功、手术操作时间、手术临床成功、手术后恢复情况、住院天数、并发症等指标。服从正态分布的计量资料组间比较采用两独立样本t检验；不符合正态分布组间比较采用Wilcoxon秩和检验。计数资料组间比较采用χ2检验或Fisher确切概率法。 结果 ERCP+SpyGlass组较PTGD+ERCP组在术后CRP下降明显(Z=2.999, P=0.003)；两组的技术成功率(χ2=1.735，P=0.188)、临床成功率(χ2=0.846，P=0.358)、整体手术时间(t=1.667，P=0.113)、术后1 d白细胞计数(t=1.075，P=0.289)、术后住院天数(t=1.560，P=0.127)，以及并发症发生率比较，差异均无统计学意义(P值均＞0.05)。 结论 ERCP+SpyGlass系统治疗对比PTGD+ERCP治疗胆总管结石继发急性胆囊炎，不增加手术相关不良事件和风险，治疗效果相当，安全有效，且一次性经内镜自然腔道解决胆道和胆囊问题，体表无瘢痕，术后护理便捷，值得临床进一步推广。 |
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| AbstractList | 目的 比较内镜逆行胰胆管造影(ERCP)+SpyGlass系统和经皮胆囊穿刺引流术(PTGD)+ERCP治疗胆总管结石继发急性胆囊炎的安全性和有效性。 方法 回顾性分析2019年12月—2021年9月吉林市人民医院消化内科胆总管结石继发急性胆囊炎患者的临床资料，其中ERCP+SpyGlass组23例，PTGD+ERCP组19例，比较两组手术技术成功、手术操作时间、手术临床成功、手术后恢复情况、住院天数、并发症等指标。服从正态分布的计量资料组间比较采用两独立样本t检验；不符合正态分布组间比较采用Wilcoxon秩和检验。计数资料组间比较采用χ2检验或Fisher确切概率法。 结果 ERCP+SpyGlass组较PTGD+ERCP组在术后CRP下降明显(Z=2.999, P=0.003)；两组的技术成功率(χ2=1.735，P=0.188)、临床成功率(χ2=0.846，P=0.358)、整体手术时间(t=1.667，P=0.113)、术后1 d白细胞计数(t=1.075，P=0.289)、术后住院天数(t=1.560，P=0.127)，以及并发症发生率比较，差异均无统计学意义(P值均＞0.05)。 结论 ERCP+SpyGlass系统治疗对比PTGD+ERCP治疗胆总管结石继发急性胆囊炎，不增加手术相关不良事件和风险，治疗效果相当，安全有效，且一次性经内镜自然腔道解决胆道和胆囊问题，体表无瘢痕，术后护理便捷，值得临床进一步推广。 目的 比较内镜逆行胰胆管造影(ERCP)+SpyGlass系统和经皮胆囊穿刺引流术(PTGD)+ERCP治疗胆总管结石继发急性胆囊炎的安全性和有效性.方法 回顾性分析2019年12月—2021年9月吉林市人民医院消化内科胆总管结石继发急性胆囊炎患者的临床资料,其中ERCP+SpyGlass组23例,PTGD+ERCP组19例,比较两组手术技术成功、手术操作时间、手术临床成功、手术后恢复情况、住院天数、并发症等指标.服从正态分布的计量资料组间比较采用两独立样本t检验;不符合正态分布组间比较采用Wilcoxon秩和检验.计数资料组间比较采用χ2检验或Fisher确切概率法.结果 ERCP+SpyGlass组较PTGD+ERCP组在术后CRP下降明显(Z=2.999,P=0.003);两组的技术成功率(χ2=1.735,P=0.188)、临床成功率(χ2=0.846,P=0.358)、整体手术时间(t=1.667,P=0.113)、术后1 d白细胞计数(t=1.075,P=0.289)、术后住院天数(t=1.560,P=0.127),以及并发症发生率比较,差异均无统计学意义(P值均>0.05).结论 ERCP+SpyGlass系统治疗对比PTGD+ERCP治疗胆总管结石继发急性胆囊炎,不增加手术相关不良事件和风险,治疗效果相当,安全有效,且一次性经内镜自然腔道解决胆道和胆囊问题,体表无瘢痕,术后护理便捷,值得临床进一步推广. |
| Author | 王宏光 周舰 陶丽莹 王曼彤 郭庆梅 郭享 |
| AuthorAffiliation | 吉林市人民医院消化内科,吉林吉林132001 |
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| Author_FL | GUO Qingmei TAO Liying ZHOU Jian WANG Mantong WANG Hongguang GUO Xiang |
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| Copyright | 2022. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Copyright © Wanfang Data Co. Ltd. All Rights Reserved. |
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| Keywords | SpyGlass系统 胆总管结石病 胆囊炎,急性 胰胆管造影术,内窥镜逆行 |
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| Snippet | 目的 比较内镜逆行胰胆管造影(ERCP)+SpyGlass系统和经皮胆囊穿刺引流术(PTGD)+ERCP治疗胆总管结石继发急性胆囊炎的安全性和有效性。 方法... 目的 比较内镜逆行胰胆管造影(ERCP)+SpyGlass系统和经皮胆囊穿刺引流术(PTGD)+ERCP治疗胆总管结石继发急性胆囊炎的安全性和有效性.方法... |
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| Title | 内镜逆行胰胆管造影联合SpyGlass系统治疗胆总管结石继发急性胆囊炎的效果观察 |
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