Đánh giá kết quả chăm sóc bệnh nhân sau lấy sỏi ống mật chủ qua nội soi mật tụy ngược dòng tại Bệnh viện Trung ương Quân đội 108

Abstract

Objective: Describing characteristics and analyzing care results of patients with removing common bile duct stone by endoscopic retrograde cholangiopancreatography (ERCP). Subject and method: Progressive and cross-sectional study, 111 patients were treated to remove gallstone by endoscopic retrograde cholangiopancreatography in 108 Military Central Hospital from January 2019 to July 2019. Result: Mean age of study group was 65.59 ± 16.61 years, male accounted for 56.76%, and female accounted for 43.24%, history of gallstone removal surgery accounted for 27.03%. Clinical symptoms before the intervention including pain (84.7%), fever (65.77%), jaundice (61.26%). Most clinical and subclinical symptoms significantly improved after the intervention. Few patients had to be inserted urinary catheter into bladder and stomach, using painkillers and muscle relaxants after the intervention, well obeying care regime. Duration of taking feeding back and hospitalization were short. Conclusion: ERCP is a minimal invasive method that was most used to remove gallstones in distal extrahepatic bile duct. This is a relatively safe procedure with many clinical benefits, but there are also some potential risks. The efficacy of intervention has a great contribution of the health care process after post-intervention.