Objective To investigate the effect of emergency endoscopic treatment in elderly patients with a‐cute obstructive suppurative cholangitis(AOSC) .Methods 73 patients with AOSC were chosen and divided into two groups .The observation group (37 cases) was treated with emergency endoscopic treatment ,while the control group (36 cases) was treated with emergency laparotomy .The curative effect ,change of biochemical indicators and compli‐cations were compared between the two groups .Results The abdominal pain relief time and gastrointestinal function recovery time in the observation group were (3 .2 ± 1 .3) h and (4 .8 ± 1 .7) h ,which were significantly lower than (5 .4 ± 1 .6) h and (6 .4 ± 2 .0) h in the control group ,the differences were statistically significant(P<0 .05) .The levels of WBC ,ALT and TBil after treatment in the observation group were significantly lower than those in the con‐trol group with statistical difference (P<0 .05) .The total occurrence rates of postoperative infection and complica‐tions in the observation group were 2 .7% and 16 .2% respectively ,which were significantly lower than 16 .7% and 36 .1% in the control group ,the differences were statistically significant (P<0 .05) .Conclusion The emergency en‐doscopic treatment in AOSC is safe ,effective ,simple to operate ,has less complications ,can improve the survival rate and living quality and is worthy of promotion in clinic .%目的：探讨急诊内镜治疗在老年急性梗阻性化脓性胆管炎（AOSC）患者中的疗效。方法选择符合标准的73例老年患者，将其分成两组，观察组37例，采用急诊内镜治疗；对照组36例，采用急诊开腹手术治疗。比较两组患者总体疗效情况、治疗前后相关生化指标改善情况及术后并发症发生情况。结果治疗后观察组患者腹痛缓解与胃肠功能恢复时间分别为（3．2±1．3）h和（4．8±1．7）h，显著低于对照组的（5．4±1．6）h和（6．4±2．0）h，差异有统计学意义（P＜0．05）。治疗后观察组患者白细胞、丙氨酸氨基转移酶及总胆红素水平均显著低于对照组，差异有统计学意义（ P＜0．05）。观察组术后感染与并发症总发生率分别为2．7％和16．2％，显著低于对照组的16．7％和36．1％，差异有统计学意义（P＜0．05）。结论急诊内镜治疗对于老年AOSC患者而言，安全有效，操作简单，并发症少，存活率与生活治疗均提高，值得临床进一步推广。
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