摘要
【目的】探讨急性胆源性胰腺炎(acute biliary pancreatitis,ABP)内镜治疗的个体化治疗原则与可行性。【方法】选择2003年10月至2005年12月收治的ABP患者,其中28例实施内镜治疗(研究组),均先行ERCP EST和(或)ENBD,后根据个体化原则24例腹腔镜置管引流术,16例胆囊切除,4例胆总管切开取石T管引流。与同期保守或外科手术治疗(对照组)21例相比较。【结果】全组无死亡病例,研究组与对照组比较血淀粉酶恢复时间,白细胞恢复正常时间和住院时间短,并发症发生率低(P<0.05)。【结论】内镜下个体化治疗原则治疗急性胆源性胰腺炎,是安全有效的。
[Objective]To explore the principle and feasibility of individualized treatment for acute biliary pancreatitis（ABP）. [Methods]Forty-nine ABP cases were admitted from October 2003 to December 2005. Endoscopy was used for the treatment of 28 patients with ABP. All patients were performed with EST or/and ENBD,then according to the individualized therapy ,24 cases were performed with laparoscopic peritoneal lavage and drainage, 16 cases with laparoscopic cholecystectomy,4 cases with laparoscopic choledocholithotmy and T-tube drainage, 21 patients were treated with conservative therapy or open surgery. [Results]The clinic effect was satisfactory. None of the 49 patients died. The days of decrease of serum amylase levels and leukocyte , hospitalizations were significantly shorter in the endoscopy group than in the control group （ P 〈0.05）. [Conclusion]It is safe and feasible that individualized therapy for acute biliary pancreatitis with endoscope.
出处
《医学临床研究》
CAS
2006年第5期728-730,共3页
Journal of Clinical Research
