摘要
目的探讨内镜下乳头气囊扩张术(EPBD)术后并发急性胰腺炎的危险因素。方法回顾性分析186例EPBD手术治疗的胆总管结石患者的资料,分析术后发生急性胰腺炎的相关危险因素。结果术后17例(9.14%)患者发生急性胰腺炎,与多个因素有关。多因素Logistic回归分析显示,术前伴有胰腺炎、胆总管直径≥9mm、术中插管困难、胰管显影和术中机械碎石是导致EPBD术后急性胰腺炎发生的独立危险因素。结论 EPBD术后急性胰腺炎发生率较高,与多个因素有关,应针对以上因素进行积极干预,以预防及减少术后胰腺炎发生。
Objective To investigate the risk factors for pancreatitis after endoscopic papillary balloon dilatation（EPBD）.Methods The risk factors for pancreatitis after EPBD were investigated by retrospectively analyzing the data from 186 patients underwent routine endoscopy descending EPBD for surgical treatment of common bile duct calculi.Results Of 186 patients underwent routine EPBD,postoperative acute pancreatitis took place in 17 cases with an incidence rate of 9.14%.Multiple factors Logistic regression analysis showed that pancreatitis existed before,common bile duct ≥9 mm in diameter,with difficult intubation during operation,pancreatic duct development,intraoperative mechanical macadam were the independent risk factors for postoperative acute pancreatitis.ConclusionThe incidence rate of postoperative acute pancreatitis after EPBD is higher and related to many factors.Attention should be paid to the factors mentioned above to take an active intervention for preventing and reducing postoperative pancreatitis.
出处
《江苏医药》
CAS
北大核心
2013年第14期1668-1670,共3页
Jiangsu Medical Journal
关键词
内镜下乳头气囊扩张术
急性胰腺炎
胆总管结石
Endoscopic papillary balloon dilatation
Acute pancreatitis
Bile duct calculi
