摘要
目的探讨内镜下逆行胰胆管造影治疗（ERCP）技术在急性胆源性胰腺炎（ABP）治疗中的合适干预时机。方法回顾性分析本中心2010年1月~2013年6月100例经ERCP治疗的ABP患者资料,按照从发病到内镜治疗时间分为A组（〈24 h治疗组）65例,B组（〉24 h治疗组）35例,分别对两组术后的腹痛症状完全消失时间,白细胞计数、血清淀粉酶、肝功指标恢复正常时间,平均住院日及并发症发生情况进行分析比较。结果 A组腹痛症状完全消失时间,白细胞计数、血清淀粉酶、肝功指标恢复正常时间和平均住院日均短于B组（P〈0.05）;A组出现并发症6例（9.2%）,B组出现并发症10例（28.6%）,两组并发症的发生率有统计学差异（P〈0.05）。结论 ABP应按急诊规范尽早行ERCP治疗,患者病情康复更快,并发症发生率更低。
Objective To study the proper intervention timing of ERCP in the treatment of acute gallstone pancreatitis （ABP）. Mothcds A retrospective analysis was made in the data of 100 ERCP patients treated by ERCP between January 2010 and June 2013. According to the time from onset to endoscopic treatment, those patients were divided into group A （treatment 〈24 h group with 65 cases） and group B （treatment 〉24 h group with 35 cases）. Comparison and analysis were made in the disappearing time of postoperative abdominal pain, white blood cell count, serum amylase, the recovery time of liver function to normal level, the average days of hospitalization, and complications between the two groups. Remalta The disappearing time of postoperative abdominal pain, the recovery time of white blood cell count, serum amylase, and liver function to normal level, and the average days of hospitalization in group A were shorter than those in group B（P 〈 0.05）. There were 6 cases of complications（9.2%） in group A and 10 ones in group B（28.6%）. The difference in the incidence of complications between the two groups was significant. Conclusion ABP patients should receive ERCP treatment as soon as possible based on the emergency specification in order to achieve faster recovery and lower incidence of complications.
出处
《西南国防医药》
CAS
2016年第2期132-134,共3页
Medical Journal of National Defending Forces in Southwest China
关键词
急性胆源性胰腺炎
内镜治疗
手术时机
acute gallstone pancreatitis
endoscopic treatment
operation time
