摘要
目的探讨内镜逆行胰胆管造影术(ERCP)相关罕见出血的原因及治疗方案。方法对行ERCP联合十二指肠乳头切开术(EST)患者的临床资料进行回顾性分析。结果 1 423例患者,ERCP+EST治疗中即刻出血44例,延迟出血1例,出血发生率为3.16%(45/1 423)。出血直接原因:42例为EST切口出血,3例罕见出血原因分别为憩室出血、胆管壁损伤出血、胆管壁血管瘤出血。结论 ERCP术中一旦发生出血,内镜下止血是有效且安全的,若内镜治疗失败,可行十二指肠动脉栓塞疗法或外科手术治疗。
Objective To explore the causes and therapeutic regimen for rare hemorrhage related to endoscopic retrograde cholangiopancreatography（ ERCP）. Methods The clinical data of patients undergoing ERCP and endoscopic sphincterotomy（ EST） were retrospectively analyzed. Results A total of 1423 patients enrolled,hemorrhage during ERCP ＋ EST and delayed hemorrhage occurred in 44 cases and 1 case respectively.The incident rate of hemorrhage was 3. 16%（ 45/1 423）. The exciting cause for hemorrhage in 42 cases was EST incision hemorrhage. The causes for rare hemorrhage in three cases were hemorrhage of diverticulum,injury of bile duct wall and angeioma of bile duct wall separately. Conclusion Endoscopic hemostasis is safe and effective when hemorrhage occurs during ERCP. Duodenal artery embolization or surgery can be performed if endoscopic treatment fails.
出处
《微创医学》
2017年第4期486-488,共3页
Journal of Minimally Invasive Medicine
基金
广西壮族自治区卫生厅科研课题(编号:Z2012294)
关键词
内镜逆行胰胆管造影术
出血
原因
治疗策略
Endoscopic retrograde cholangiopancreatography
Hemorrhage
Causes
Treatment strategy
