摘要
目的探讨十二指肠镜联合腹腔镜治疗急性胆源性胰腺炎(ABP)的治疗方法和临床效果。方法我院于2000年2月~2007年10月前后以两种不同的方式治疗ABP84例,前期35例(对照组)予保守和/或开腹手术治疗,后期49例(治疗组)行ERCP、ENBD、EST和腹腔镜手术,比较两者的疗效。结果全组病例均治愈。治疗组21例无胆道梗阻的ABP保守治疗1周行LC,28例有胆道梗阻的ABP急诊行ERCP、ENBD或EST,3周后再行腹腔镜手术。治疗组与对照组比较,体温、生化指标、血淀粉酶等恢复时间及住院时间短,住院费用低(P<0.05)。结论十二指肠镜和腹腔镜的联合应用是治疗ABP安全有效的方法。
[Objective] To explore the therapeutics and clinical curative effects of duodenoscopy combined with laparoscopy in treating acute biliary pancreatitis (ABP). [Methods] From February 2000 to October 2007, 84 ABP patients in our hospital were divided into two groups according to different therapeutics in the prophase and later period: 35 cases in control group received conservative therapy and/or open surgery in the early days; 49 cases in experimental group received duodenoscopy such as ERCP, ENBD, EST and laparoscopic surgery in the later period. The curative effect in the two groups was subsequently compared. [Results] All the patients were cured. In experi- mental group, 21 cases without obstruction of biliary tract underwent LC after a week of conservative treatment; 28 cases underwent urgently ERCP, EST, ENBD before treated with LC or LCDE 3 weeks later. Compared with control group, experimental group possessed shorter recovery time of body temperature,biochemical indicators and hemodias- tase and length of stay and lower cost of hospitalization (P 〈0.05). [Conclusion] Duodenoscopy combined with laparoscopic surgery is a safe and effective method in treating acute biliary pancreatitis (ABP).
出处
《中国医学工程》
2008年第2期126-128,共3页
China Medical Engineering