摘要
目的探讨ERCP早期干预微创治疗急性胆源性胰腺炎(ABP)的临床价值。方法回顾性分析2000 年7月至2005年3月期间前后两种不同治疗模式治疗89例ABP的临床资料,比较治疗组(内镜治疗法)与对照组(常规治疗法)的临床疗效。结果 22例重症急性胰腺炎中,治疗组7例并发症的发生率显著低于对照组(P<0．05),无一例需急症开腹手术,无一例死亡,而对照组15例中,迫于急症手术8例,死亡 2例;后期联合LC术,治疗组平均住院天数显著少于对照组(P<0．01);67例轻症急性胆源性胰腺炎中, 治疗组并发症发生率及住院天数皆小于对照组,但无统计学差异。结论 ERCP的早期干预能有效逆转ABP 的急性症状和转归,尤其对于重症胰腺炎患者。伴胆囊结石患者后期辅以LC术,彻底根除诱发因素,同时使微创化的理念在该病整个疗程中得以体现,不失为目前理想的治疗方法。
Objective To investigate the therapy in treating acute biliary pancreatitis . clinical value of sequential endoscopic and laparoscopic Methods From July, 2000 to March, 2005,eightyinepatients with acute biliary pancreatitls were treated with conventional（contrast group） or endoscopic（therapy group） method. Results Among the severe ABPs, the incidece of complication （28.6% Vs 66.7%, P〈0.05） and the average hospitalized day （17.4±3.8 days Versus 59±42days,P〈0.01） of the therapy group were significantly reduced compared with that of the conventional group. There had no emergency operations and no mortality in therapy group. Among the mild ABPs, although with no statistical significance, the incidece of complication and the average hospitalized day were also reduced in therapy group. Conclusion With minimal invasive and better clinical effectiveness, earlytage ERCP and later-stage LC procedures are ideal treatments for acute biliary pancreatitits.
出处
《肝胆胰外科杂志》
CAS
2006年第2期97-99,共3页
Journal of Hepatopancreatobiliary Surgery
关键词
胰腺炎
胰胆管造影术
内镜
括约肌切开术
腹腔镜
pancreatitis
cholangiopancreatography
endoscope
sphincterotomy
laparoscope
