早期鼻胆管引流对急性胰腺炎的疗效评价  

Study on the effect of endoscopic nasobiliary drainageon acute pancreatitis

作　　者：刘黎明[1] 鲁星燧[1] 张景涛[1] 姚英[1] 冯少华[1] 

机构地区：[1]同济大学附属同济医院普外科,上海200065

出　　处：《同济大学学报（医学版）》2007年第5期55-57,共3页Journal of Tongji University(Medical Science)

摘　　要：目的探讨早期鼻胆管引流对于急性胰腺炎治疗作用。方法比较ERCP操作中确诊为胆源性胰腺炎和非胆源性胰腺炎的患者实施早期鼻胆管引流的效果,并与传统内科保守治疗相比较。结果胆源性胰腺炎经鼻胆管引流后,各项观察指标恢复较快,而非胆源性胰腺炎患者恢复时间没有明显变化。结论早期鼻胆管引流对于急性胆源性胰腺炎有确切的治疗作用,但对于非胆源性胰腺炎患者,并无积极治疗作用。Objective To evaluate the effect of endoscopic nasobiliary drainage （ENBD） on acute pancreatitis. Methods 231 patients with acute pancreatitis were divided into three groups： acute biliogenic pancreatitis treated with ENBD, acute nonbiliary pancreatitis treated with ENBD and acute biliogenic pancreatitis treated with medicine. The results of 3 different groups were compared. Results BAMY, UAMY, SB and GFT recovered more rapidly in acute biliogenic pancreatitis treated by ENBD than those of other groups. Conclusion ENBD is an effective treatment to acute biliogenic pancreatitis, but it has no use to acute nonbiliary pancreatitis.

关 键 词：鼻胆管引流 急性胰腺炎 疗效 

分 类 号：R657.51[医药卫生—外科学]