摘要
目的：评估内镜对急性重症胰腺炎（ASP）的治疗价值及应用指征。方法：采用经内镜鼻胆管引流（ENBD）及经内镜乳头括约肌切开术（EST）等内镜技术治疗ASP26例。按下列指标评估：腹痛消失时间、血淀粉酶复常时间、死亡率、平均住院日。结果：腹痛消失时间内镜治疗组（治疗组）（2．5±1．5）d而对照组（5．1±2．4）d，P＜0．05；血淀粉酶复常时间治疗组（2．8±1．3）d，对照组为（4．8±1．8）d，P＜0．05；病死率治疗组1／26（3．85％），对照组5／30（16．67％），P＜0．05；平均住院日治疗组（17．2±5．2）d，对照组（26．2±18．2）d，P＜0．05。结论：ENBD加EST治疗以微小创伤达到满意外科引流效果，能够有效地降低胆胰管内压，缓解胰腺病变，起到治疗作用，不失为ASP治疗手段和方法的一个补充，具有一定的临床使用价值。
Objective:To assess the value and indication of endoscopic intervention for acute severe pancreatitis(ASP).Methods:A series of consecutive patients with (26 cases) was treated mainly with endoscopic naso-biliary drainage(ENBD),sphincterotomy (EST) as well as drugs,Abdominal pain duration:raised serum amylase period surgical intervention rate mortality rate and average be in hospital number of days.Results:Abdominal pain duration was (2.5± 1.5 ) days in treatment group with endoscopic and (5.1±2.4) days in control group respectively (P<0.05),raised serum amylase period was (2.8±1.3) days in treatment group with endoscopic and (4.8±1.8) days period in control group respectively(P<0.05),mortality rate was 3.85% (1/26) in treatment group with endoscopic while 16.67% (5/30),P<0.05,average be in hospital number of days was (17.2±5.2) days in treatment group with endoscopic and (26.2±18.2) days in control group respectively.Conclusion:ENBD+EST the intraductal pressure can be lowered and the cause of occlusion be relieved with therapeutic effect.It is considered that endoscopic intervention is a practic of choice for selected.
出处
《医师进修杂志》
北大核心
2001年第1期23-24,共2页
Journal of Postgraduates of Medicine
