摘要
目的探讨内镜下乳头肌切开术 (EST)后严重并发症的外科治疗。方法收治 11例EST术后并发严重出血、穿孔、胰腺炎患者 ,其中单纯出血 4例 ,单纯穿孔 3例 ,穿孔伴出血 3例 ,穿孔伴重症胰腺炎 1例。结果单纯出血 4例 ,单纯穿孔 3例 ,穿孔伴出血 1例患者均存活 ,穿孔伴出血2例及 1例穿孔伴重症胰腺炎患者死亡。结论早期诊断 ,积极手术是降低病死率的关键。对穿孔伴出血或重症胰腺炎的患者 ,强调充分引流胆汁、胰液 。
ObjectiveTo review surgical management of the complications caused by iatrogenic endoscopic sphincterotomy(EST).MethodsEleven patients with complications of EST were surgically treated, including 4 patients with hemorrhage, 3 patients with perforation, 3 patients with perforation plus hemorrhage, and one patient with perforation plus severe pancreatitis. ResultsTwo patients with perforation plus hemorrhage and the patient with perforation plus severe pancreatitis died, other patients survived.ConclusionEarly diagnosis and surgical intervention was very important to lower the mortality. For patients suffering from perforation and hemorrhage or pancreatitis, it′s very important to make an unobstructed peritoneal drainage as well as other maneuvers.
出处
《中华普通外科杂志》
CSCD
北大核心
2002年第8期469-470,共2页
Chinese Journal of General Surgery
关键词
括约肌切开术
内窥镜
术后
并发症
外科手术
EST
Sphincterotomy, endoscopic
Complications, postoperative
Operative procedures, surgical
