| 钱宁,李可为,袁志青,等.日间内镜逆行胆胰管造影术在胆总管结石治疗中的应用分析[J].安徽医药,2017,21(8):1436-1438. |
| 日间内镜逆行胆胰管造影术在胆总管结石治疗中的应用分析 |
| Application of ambulatory ERCP in therapy of choledocholithiasis |
| 投稿时间：2016-09-01 |
| DOI： |
| 中文关键词: 胆总管结石 内镜逆行胆胰管造影术 日间手术 并发症 |
| 英文关键词: Choledocholithiasis Endoscopic retrograde cholangiopancreatography Ambulatory Surgery Complications |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨日间内镜逆行胆胰管造影术(ERCP)模式在胆总管结石治疗中的应用,分析其安全性和有效性。方法 回顾性分析2013年1月—2015年12月行治疗性ERCP操作的229例胆总管结石病人临床资料,其中日间病人129例,择期病人100例。评估病人的ERCP操作类型、住院天数、总费用、结石清除率、并发症等指标。结果 日间组和择期组病人的ERCP操作类型、住院天数和结石清除率有统计学差异,总费用、并发症则无统计学差异。结论 日间ERCP模式用于胆总管结石的治疗安全有效,开展日间ERCP手术,将部分病人按日间模式管理,能减少总体病人的住院时间,充分利用医院床位资源。 |
| 英文摘要: |
| Objective To analyze the application,safety and efficiency of ambulatory ERCP mode in the therapy of choledocholithiasis. Methods A total of 229 patients who underwent therapeutic ERCP were retrospectively analyzed between Jan.2013 and Dec.2015.119 patients belonged to ambulatory group and 100 patients were comprised of selective group.The details of the ERCP procedures,length of the hospital stay,total medical expense,prognosis of the diseases and the operation complications were compared between the two groups. Results There were significantly statistic differences in the details of the ERCP procedures,length of the hospital stay,prognosis of the diseases,however,with no statistic differences in the total medical expense and the operation complications. ConclusionAmbulatory ERCP mode is safe and effective.Developing ambulatory ERCP operation which lead some patients stay in ambulatory ward can reduce the overall hospitalization time,and take full advantage of the hospital bed resources. |
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