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目的:探讨ERCP在儿童胆胰疾病中的临床诊疗价值。方法:对2003年1月至2012年9月间进行ERCP诊断和治疗儿童胆胰疾病患者的资料进行回顾性研究,观察其疗效和并发症发生情况。结果:13例儿童患者中胆总管结石6例,胆囊切除术后残余结石1例,胆总管扩张2例,胆源性胰腺炎1例,肝外伤右叶切除术后胆道狭窄并胆漏1例,肝移植术后胆道并发症1例,先天性胆总管囊肿1例。共计行ERCP 18次,其中诊断性ERCP 1次,治疗性ERCP 17次。术后并发症发生1次(1/18)。结论:ERCP对于儿童胆胰疾病是一种安全、有效的诊疗方法,值得推广。
Objective: To investigate the clinical value of ERCP in children with biliary and pancreatic diseases. Methods: The data of ERCP diagnosis and treatment of children with biliary and pancreatic diseases from January 2003 to September 2012 were retrospectively studied. The curative effect and complication were observed. Results: 13 cases of children with common bile duct stones in 6 cases, 1 case of residual stones after cholecystectomy, common bile duct dilatation in 2 cases, biliary pancreatitis in 1 case, biliary stricture after hepatectomy and bile leakage in 1 case 1 case of biliary complications after liver transplantation and 1 case of congenital choledochal cyst. A total of ERCP 18 times, including diagnostic ERCP 1, ERCP 17 times. Postoperative complications occurred once (1/18). Conclusion: ERCP is a safe and effective treatment for children with biliary and pancreatic diseases, which is worth promoting.