摘要
目的探讨内镜治疗胆源性胰腺炎的疗效。方法将我院2001年1月至2012年6月期间收治的420例胆源性胰腺炎患者,回顾分析:ERCP治疗组(218例)及保守治疗组(202例),分别观察两组腹痛缓解时间,血尿淀粉酶恢复时间,肝功能恢复时间,血白细胞恢复时间,平均住院天数,平均费用并观察其并发症发生情况。结果 ERCP组均成功施行EST,ENBD术。ERCP治疗组平均腹痛时间明显低于对照组,ERCP组重症病死率明显降低。结论通过内镜介入治疗胆源性胰腺炎,不仅能明确病因,而且能缩短住院时间,降低患者疼痛时间,减轻痛苦,并能减少住院经费,减少基础护理工作量,因此重视术后的护理能减少并发症的发生。
Objective To studay on the therapeutic effects of early endoscopic retrogrode cholangio- pancreatography（ERCP） and endoscopic sphineterotomy （EST） in acute biliary panereatitis. Methods The clinical data of 420 patients with acult biliary pancreatitis were retrospectively analyzed, acult biliary pancreati- tis were divided in to early endoscopic therapy group（218 case） and conservative therapy group（202 case）, ac- cording to the treatment methods. The disappearance of abdominal pain, decrease of serumd and urine amylase leave, liver function recovery time, blood white blood cell recovery time, the mean days and costs of hospitaliza- tions were observed in all patients. Results In ERCP group,all patient were performed EST. The days of dis- appearance of abdominal pain and critical illness mortalities, were singnificanfly shoter in the early early ERCP group than in the contral group. Conclusion The early endoscopic management for patients with acult biliary pancreatitis not only lear etiology, and also can reduce expense, basic Nursing Workload and relieve pain, so pay attention to postoperative care can effectively reduce the incidence of postoperative complications
出处
《中国实用医药》
2012年第35期36-37,共2页
China Practical Medicine
关键词
内镜
胆源性胰腺炎
并发症
观察
Endoscopic
Biliary pancreatitis
Complications
Observation
