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早期内镜干预治疗与保守治疗急性胆源性胰腺炎的比较

Comparison of early endoscopic intervention and early conservative management for acute biliary pancreatitis
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摘要 目的探讨早期内镜干预治疗急性胆源性胰腺炎的价值与安全性。方法将46例早期内镜干预治疗与62例内科保守治疗的临床资料作对照,进行实验室检查、CTSI、APACHE II、腹痛缓解时间、住院天数、并发症发生率及病死率等指标对比分析。结果内镜组腹痛持续时间及并发症发生率明显低于内科保守治疗组(P〈0.05);内镜组和对照组病死率、平均住院时间比较差异无统计学意义(P〉0.05)。住院第7天两组总胆红素、c反应蛋白、CTSI、APACHEII差异有统计学意义(P〈0.05)。结论早期内镜干预治疗是急性胆源性胰腺炎安全、有效的治疗措施。 Objective To evaluate the value and safety of endscopic intervention in the treatment of acute biliary pancreatitis. Methods Forty - six cases treated With endscopic intervention and 62 cases treated with medical conservative treatment were compared, TBIL, CRP, CTSI, APACHE II , pain relief time, hospital stay, incidence of complications and death were analyzed. Results Abdominal pain and complications of endoscopic group were significantly lower than that of the conservative group (P 〈 0.05 );Death rate, hospitalization was no significant difference (P 〉 0. 05 ) between the two groups. After 7 days, there were significant difference in TBIL, CRP, CTSI and APACJE II (P 〈 0. 05). Conclusions Early endseopic intervention in treatment of acute biliary pancreatitis is safe and effective.
出处 《中国实用医刊》 2011年第24期59-61,共3页 Chinese Journal of Practical Medicine
关键词 内镜 干预 急性 胆源性胰腺炎 Endoscopic Intervention Acute biliary pancreatitis
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