梗阻性黄疸行内镜下逆行胰胆管造影支架植入术后并发急性胆囊炎的影响因素

摘要

Objective To investigate the related factors of acute cholecystitis after endoscopic retrograde cholangiopancreatography (ERCP) stent implantation for obstructive jaundice.Methods The clinical data of 58 patients with obstructive jaundice treated with ERCP stent implantation were retrospectively analyzed.The incidence of acute cholecystitis after ERCP stent implantation was observed, and the factors affecting the incidence were analyzed.Results There were 4 cases(6.90%) complicated with acute cholecystitis out of 58 cases of obstructive jaundice who underwent ERCP stent implantation.The results of multivariate logistic regression analysis showed that the repeated relapse of preoperative calculous cholecystitis was an independent risk factor for acute cholecystitis after ERCP stent implantation in patients with obstructive jaundice(P<0.05).Conclusion The repeated relapse of preoperative acute calculous cholecystitis can increase the risk of acute cholecystitis in patients with obstructive jaundice after ERCP stent implantation.%目的 探讨ERCP支架植入术治疗梗阻性黄疸后并发急性胆囊炎的相关因素.方法 回顾性分析58例行ERCP支架植入术治疗的梗阻性黄疸患者临床资料,观察患者ERCP支架植入术后并发急性胆囊炎的情况,分析其影响因素.结果 58例梗阻性黄疸患者行ERCP支架植入术后有4例(6.90%)并发急性胆囊炎.多因素logistic回归分析结果显示,术前急性结石性胆囊炎反复发作是梗阻性黄疸患者ERCP支架植入术后并发急性胆囊炎的独立危险因素(P<0.05).结论 术前急性结石性胆囊炎反复发作可增加梗阻性黄疸患者ERCP支架植入术后并发急性胆囊炎的发生风险.