摘要
目的:探讨内镜下治疗胆胰疾病的价值。方法:经临床确诊或逆行胰胆管造影诊断明确的胆管结石、急性梗阻性化脓性胆管炎、恶性胆道梗阻、Oddi括约肌功能障碍。重症胰腺炎、慢性胰腺炎等患者59例,进行乳头括约肌切开、网篮取石、鼻胆管引流、胆道塑料内支架引流等治疗。结果:成功59例(100％),痊愈50例(84.7％),好转8例(13.6％),无严重并发症和死亡。结论:内镜治疗胆胰疾病效果好、并发症少、痛苦小、费用低,值得推广应用。
Objective:Endoscopic retrograde cholangiopancreatography (ERCP) and sphincterotomy (EST) are well accepted as the procedure of choice for diagnostic and therapeutic purposes of pancreaticobiliary disease. The aim of this study is to investigate the curative effect and complication of pancreaticobiliary disease managed by therapeutic ERCP. Methods: A total of 59 patients with common bile duct stone,acute obstructive suppurative cholangitis,malignant bile duct obstruction, acute or chronic pancreatitis,and sphincter of Oddi dysfunction. Each case was confirmed by ultrasonographic examination, diagnostic ERCP and blood amylase test. All patients underwent therapeutic ERCP such as EST, stone extraction and drainage. Results :Of the 59 patients, 16 patients with acute obstructive suppurative cholangitis and severe acute pancreatitis underwent urgent management of endoscopic intervention, stone extraction and endoscopic nasobiliary drainage. The remaining 43 patients underwent diagnostic ERCP,followed by therapeutic ERCP in cases of documented bile duct stone,sphincter of Oddi dysfunciton,or chronic pancreatitis. The success rate of endoscopic procedure was 100% ,and the complication rate was 6. 8% ,without mortality. Conclusion : In patients with pancreaticobiliary disease , therapeutic ERCP provides adequate management and is associated with low complication rates.
出处
《重庆医科大学学报》
CAS
CSCD
2003年第1期94-97,共4页
Journal of Chongqing Medical University
关键词
内镜
乳头括约肌
切开术
治疗
胆胰疾病
胰胆管造影术
Therapeutic endoscopic retrograde cholangiopancreatography (ERCP)
Endoscopic sphincterotomy (EST)
Pancreatico-biliary disease
Complication
