非X线内镜下鼻胆管引流治疗急性胆源性胰腺炎的价值  

Early endoscopic naso-biliary drainage (ENBD) in patients with acute billiary pancreatitis

作　　者：马清珠[1] 陈建[2] 谢佳平[1] 

机构地区：[1]山东省聊城市人民医院消化内科,山东大学在职研究生252000 [2]山东省齐鲁医院消化科

出　　处：《北京医学》2007年第10期593-595,共3页Beijing Medical Journal

摘　　要：目的探讨急性胆源性胰腺炎早期鼻胆管引流治疗的价值及安全性。方法选择30例急性胆源性胰腺炎患者早期(24h内)行床边(非X线下)内镜下鼻胆管引流(ENBD)及常规保守治疗(ENBD组),并与同期行常规保守治疗的30例(对照组)患者比较平均腹痛消失时间、血淀粉酶恢复时间、胰腺CT影像学变化、平均住院天数及平均费用等。结果ENBD组30例引流成功,2例行胆总管开窗术。ENBD组平均腹痛消失时间、血淀粉酶恢复时间、胰腺CT影像学变化、平均住院天数及平均费用均明显低于对照组。结论急性胆源性胰腺炎早期ENBD治疗是安全可靠的,可降低患者病死率,减少住院天数和费用。Objective To study the value and safety of early ENBD in acute biliary pancreatitis. Methods Thirty patients with acute biliary pancreatitis underwent early （no-Xray）ENBD （within 24 hours）. Another 30 patients with acute biliary pancreatitis were treated conservatively without ENBD. The disappearance of abdominal pain, decrease of serum amylase level, the mean days and costs of hospitalization and complications were observed in all patients. Results In ENBD group, all patients were successfully drainaged except two were performed CBD fistulostomy. The interval of the disappearance of abdominal pain, decrease of serum amylase level, the mean days and costs of hospitalization and complications were significantly shorter in early ENBD group than in the control group. Conclusions Early ENBD theapy is a saft procedure and has advantage in lowering the mortality, shortening hospital days and lowering expense.

关 键 词：胰腺炎 鼻胆管引流 治疗 

分 类 号：R657.51[医药卫生—外科学]