青少年慢性胰腺炎的内镜介入治疗  

Endoscopic treatment of chronic pancreatitis in children

作　　者：李兆申[1] 王伟[1] 廖专[1] 施新岗[1] 王洛伟[1] 吴仁培[1] 孙振兴[1] 刘枫[1] 高军[1] 

机构地区：[1]第二军医大学附属长海医院消化内科,上海200433

出　　处：《中华消化内镜杂志》2007年第4期242-245,共4页Chinese Journal of Digestive Endoscopy

摘　　要：目的探讨内镜介入治疗青少年慢性胰腺炎的方法和临床疗效。方法以2002年亚太共识报告中提出的共识意见为慢性胰腺炎诊断标准,回顾分析1997年1月到2006年8月间经内镜介入治疗的青少年慢性胰腺炎患者临床资料,内镜治疗方法等,并随访其疗效。结果 36例青少年慢性胰腺炎患者,共行 ERCP77次,其中1例2次插管失败,1例胰管置入术未成功,2例失访;成功进行内镜介入治疗和随访的32例患者中,内镜治疗后完全缓解和部分缓解者共26例(81.2%),4例最终行手术治疗;ERCP 术后并发症发生率为26.7%(20/75),均经短期药物治疗后好转,无出血、穿孔、死亡病例。结论内镜在治疗青少年慢性胰腺炎方面的初步疗效确切,可作为青少年慢性胰腺炎的一线治疗方法。Objective To determine the consequences of theraputic endoscopic retrograde cholangio-parcreatography（ERCP） for chronic pancreatitis in children. Methods A computer database was searched for data on all patients with the age at onset of symptoms being 18 years or younger from January 1997 to August 2006. Attempts were made to contact all children and follow-up data were recorded. Clinical data were assessed before and after every ERCP. Results Thirty-six cases of patients performed by therapeutic ERCP were screened. Of the 34 patients conducted by therapeutic ERCP successfully, 32 patients were contacted. Complete and partial clinical improvement were achieved in 81.2% （26/32）. The incidence of the major complications related to the procedure was 26. 7% （20/75）. All complications resolved with conservative medical management in less than 7 days. There were no cases of severe pancreatitis, perforation, bleeding or death related to the procedure. Conclusion Therapeutic ERCP can be used as an initial management of choice in children with chronic pancreatitis.

关 键 词：胰胆管造影术 内窥镜逆行 胰腺炎 慢性 青少年 

分 类 号：R576[医药卫生—消化系统]