摘要
目的:探讨内镜对慢性胰腺炎(CP)的治疗价值.方法:回顾分析2001年3月～2005年2月应用内镜诊治CP72例.结果:完成ERCP检查69例,成功率96%;ERCP显示十二指肠乳头狭窄61例,7例仅见胰管均匀变细.69例患者均完成一种以上内镜治疗,术后腹痛症状均有不同程度缓解,治疗有效率为100%,尤以单纯十二指肠乳头狭窄和行支架引流的患者症状减轻明显.结论:胰管均匀变细也是CP的影像学表现之一;单纯十二指肠乳头狭窄可以是CP患者ERCP的唯一阳性发现,十二指肠乳头狭窄和(或)结石嵌顿是CP的重要病因.内镜治疗可使部分CP病人免于手术.
Objcetive ： To discuss the diagnotic and therapeutic value of endoscopy on chronic pancreatitis（CP）. Methods ：To analyse the results of endoscopy in 72 cases respectively. Results ： Of 72 cases, 69 cases finished the endoscopy, and the success rate was 9696. IERCP showed duodenal papillary stenosis in 61 cases,and thin-diameter-pancreatic duct in 7 cases. After therapentic endoscopy, including ERCP, endoscopic sphinoterotomy, and endoscopic stentplacement,the symptoms of the patients relieved at different extent, and the effective rate was 100%. Conelusion ： The thinning change of the Pancreatic duct is one of imaging feature in chronic pancreatits. Simple duodenal papillary stenos is may be the unisue sisn during ERCP. Duodenal papillary stenosis and stone are the main cause of chronic Pancreatitis. Therapeutic endoscopy can protect some patients from sursery.
出处
《中国现代普通外科进展》
CAS
2005年第6期363-364,共2页
Chinese Journal of Current Advances in General Surgery
关键词
胰腺炎
括约肌切开术
内窥镜
胰胆管造影术
内窥镜逆行
Panoratitis · Siohinoterotomy,endosoopy · Cholanglopanoreatosraphy,endoscope retrosrade
