摘要
内镜引流治疗急慢性胰腺炎 2 3例 ,其中乳头括约肌切开 (EST)、鼻胆管引流 (ENBD)治疗急性胰腺炎 (AP) 13例 ,包括 5例重症急性胰腺炎 (SAP) ,成功引流 11例均获治愈 ,平均治愈天数为 10 4天 (5～ 18天 ) ;11例慢性胰腺炎 (CP)中 7例行胰管括约肌切开(EPS)、5例胰管狭窄探条扩张、2例胰管结石取石、6例鼻胰管引流 (ENPD)、7例胰管内引流 (PDE) ,7例术后腹痛患者中 5例缓解 ,2例胰管结石一次取净 ,4例胰腺囊肿消失。结果显示 。
Endoscopic drainage was practised in 23 patients with acute or chronic pancreatitis. Among them 13 cases with acute pancreatits (AP) including 5 serious ones were treated with endoscopic sphincterotomy (EST) and naso biliary drainage (ENBD).Following successful drainage ( n =11) all the patients were cured with an average of 10 4 days (5-18 days). Among 11 patients with chronic pancreatitis, there were 7 cases treated by endoscopic pancreatic sphinterotomy (EPS), 2 cases by extraction of pancreatic duct stones with balloon, 5 cases by dilatation of pancreatic duct with bougienage, 6 cases by endoscopic naso pancreatic drainage(ENPD), and 7 cases by pancreatic duct drainage(PDE). After the operation, abdominal pain was eliminated in 5/7 cases. Pancreatic duct stones were extracted out in 2 patients and pancreatic cyst disappeared in 4 patients. It is concluded that endoscopic drainage is safe and useful in management of acute or chronic pancreatitis.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2002年第12期1119-1120,共2页
Medical Journal of Chinese People's Liberation Army
