摘要
目的评价入院72h内行内镜逆行胰胆管造影(endoscopic retrograde cholangiopancreatography,ERCP)及介入治疗急性胆源性胰腺炎(acute biliary pancreatitis,ABP)的安全性和疗效。方法将我院2007年1月至2009年6月期间收治的87例ABP住院患者按治疗方式分为内镜治疗组和保守治疗组,内镜治疗组行ERCP检查和介入治疗,保守治疗组行常规内科保守治疗,分别观察2组的腹痛缓解时间、住院时间、血淀粉酶恢复时间、血白细胞恢复时间及肝功能恢复时间,并观察其并发症发生情况。结果内镜治疗组患者腹痛缓解时间、住院时间、血淀粉酶恢复时间、血白细胞恢复时间和肝功能恢复时间均明显短于保守治疗组(P<0.05).未发生与内镜操作有关的消化道大出血、消化道穿孔、心血管意外等严重并发症。未见因ERCP检查和介入治疗而使病情加重者。结论早期内镜介入治疗ABP安全、有效,能防止病情进一步发展。
Objective To evaluate the safety and effect of early therapeutic endoscopic retrograde cholangiopancreatography （ERCP） and interventional treatment for acute biliary pancreatitis. Methods Eighty-seven hospitalized patients with acute biliary pancreatitis were divided into endoscopic therapy group and conservative therapy group according to the treatment methods. ERCP examination and treatment were used in the endoscopic therapy group,medical conservative treatments were used in the conservative therapy group. The efficacy such as blood amylase recovery time,abdominal pain relief time,blood white blood cell recovery time,liver function recovery time,hospital stay,and complications were observed. Results Blood amylase recovery time,abdominal pain relief time,blood white blood cell recovery time,liver function recovery time,and hospital stay in the endoscopic therapy group were significantly shorter than those in the conservative therapy group （P0.05）. There were no ERCP related severe complications or aggrevated symptoms. Conclusion Early endoscopic therapy is a safe and effective method for acute biliary pancreatitis and can prevent further progression to severe status.
出处
《中国普外基础与临床杂志》
CAS
2010年第9期970-973,共4页
Chinese Journal of Bases and Clinics In General Surgery
关键词
内镜逆行胰胆管造影
急性胆源性胰腺炎
疗效
Endoscopic retrograde cholangiopancreatography
Acute biliary pancreatitis
Effect
