123例胰胆管疾病患者ERCP诊治分析  

Diagnosis and Treatment of Pancreas and Bile Duct Disease by ERCP analysis of 123 cases

作　　者：朱智勇[1] 马颖才[1] 熊元治[1] 赵相[1] 王燕[1] 蔡宏澜[1] 

机构地区：[1]青海省人民医院消化内科,810007

出　　处：《青海医药杂志》2012年第10期7-9,共3页Qinghai Medical Journal

摘　　要：目的:探讨内镜逆行胰胆管造影术的疗效评价。方法:回顾分析123例患者内镜逆行胰胆管造影术的治疗效果。结果:123例患者中插管并造影成功121例,失败2例,显影未发现异常10例。造影发现胆总管结石62例,超氧化物歧化酶(SOD)18例,硬化性胆管炎4例,胆管癌18例,胰头癌3例,壶腹癌1例,胰管结石2例,胆总管囊肿1例,慢性胰腺炎2例。62例胆管结石患者行十二指肠乳头切开术(EST)后1次性成功取净结石59例,造影确诊胆管癌18例。结合上腹部CT等检查确诊胰头癌3例,均置入胆道塑料支架。造影并经镜下活检确诊壶腹癌1例。术后并发胰腺炎4例,EST术中并发出血3例,术后并发大出血1例。结论:经内镜逆行胰胆管造影术(ERCP)是胆道疾病、胰腺炎、胰腺癌、胆胰管先天畸形等疾病的重要诊治方法之一,其特点主要在于患者痛苦小、花费少、并发症少、恢复快,特别适合不能耐受外科手术的年老体弱及胆胰肿瘤丧失外科手术机会的患者。Objective:To discuss the efficacy of treatment with endoscopic retrograde cholangiopancreatogram(ERCP) in patients with pancreas and bile duct disease.Methods:123 medical records of pancreas and bile duct diseases treated by ERCP from July 2009 to July 2010 in our hospital were reviewed retrospectively.Results:Intubation and angiography were successful in 121 of 123 cases experienced treatment with ERCP,but 2 cases failure;angiography found: 62 cases had choledocholithiasis,18 cases for SOD,4 cases for sclerosing cholangitis,Cholangiocarcinoma in 18 cases,3 cases of pancreatic cancer,ampullary carcinoma in 1 case,2 cases for pancreatic duct stones,bile duct cyst in 1case,2 cases of chronic pancreatitis.Stones were cleared completely in 59 of 62 cases of choledocholithiasis and treated by EST.Conclusions:ERCP is the most useful method of diagnosis and treatment for pancreas and bile duct disease,because it is effective,less pain and spend,better recovery.

关 键 词：胰胆管疾病 ERCP 诊治 

分 类 号：R575.7[医药卫生—消化系统]