论文部分内容阅读
目的 评价急性胆源性胰腺炎内镜治疗的临床效果。方法 2 0 0 0年10月至2 0 0 4年3月共收治急性胆源性胰腺炎36例,其中急诊内镜治疗(内镜组) 2 0例,2 4h内行逆行胰胆管造影术、内镜下乳头括约肌切开后用网篮取石或碎石网篮碎石后气囊取石术及内镜下鼻胆管引流术;保守或急诊外科手术治疗(对照组) 16例。结果 内镜组治疗的成功率为95 % ,未发生与内镜操作有关的严重并发症;与对照组相比,内镜组术后腹痛缓解快,住院时间短(P <0 . 0 1) ,从术后第2天开始血及尿淀粉酶明显降低(P <0 .0 5 ) ,第3天降低更为明显(P <0 .0 1)。结论 内镜治疗解除了胆胰管开口的梗阻,通畅了胆胰液的引流,微创、安全、有效,是治疗急性胆源性胰腺炎的理想方法。
Objective To evaluate the clinical effect of endoscopic treatment of acute gallstone pancreatitis. Methods From October 2000 to March 2004, 36 cases of acute gallstone pancreatitis were treated, including 20 cases of emergency endoscopic treatment (endoscopic group), 24 hours retrograde cholangiopancreatography Endoscopic sphincterotomy with a basket or stone gravel net lithotomy balloon lithotomy and endoscopic nasobiliary drainage; conservative or emergency surgical treatment (control group) in 16 cases. Results The success rate of endoscopic treatment was 95%, no serious complications related to endoscopic operation occurred. Compared with the control group, abdominal pain relief and short hospital stay were shorter in the endoscopic group (P <0.01) , Blood and urine amylase decreased significantly from the second day after operation (P <0.05), and the third day decreased more significantly (P <0.01). Conclusion Endoscopic treatment of the obstruction of the opening of the bile duct and pancreatic duct patency of biliary drainage, minimally invasive, safe and effective, is the ideal method of treatment of acute gallstone pancreatitis.