急性胆源性胰腺炎早期内镜治疗90例  

90 Cases of Early Endoscopic Treatment with Acute Biliary Pancreatitis

作　　者：李庆芝[1] 

机构地区：[1]附属菏泽市立医院,山东菏泽274000

出　　处：《菏泽医学专科学校学报》2009年第1期33-34,共2页Journal of Heze Medical College

摘　　要：目的探讨急性胆源性胰腺炎早期内镜治疗的价值。方法对急性胆源性胰腺炎90例患者,入院24～72 min先行逆行胰胆管造影,对明确有胆总管结石、狭窄等病例行乳头扩约肌切开术及鼻胆管引流等治疗。结果经内镜治疗后82例急性胆源性胰腺炎顺利治愈,8例重症急性胆源性胰腺炎转外科手术,2例死亡。内镜治疗过程中3例出现十二指肠乳头扩约肌切开出血,经局部喷洒凝血酶止血,未再出现其他并发症。结论急性胆源性胰腺炎早期ERCP治疗是安全、有效的。Objective To study on the value of early endoscopic therapy in acute biliary pancreatitis. Methods Select 90 cases and make make ERCP to them with 24 72 hours, make EST, ENBD to whom with choledocholithiasis and narrowness. Results Among 90 patients underwent endoscopic therapy, 82 cases were cured smoothly. 8 cases were thansferred to surgical therapy. 2 cases died. During the endoscopic therapy, 3 cases presented incision site hemorrhage of sphincter of papilla of ducdenum, no other complications were observed. Conclusion Early ERCP endoscopic therapy is safe and effective method for acute biliary pancreatitis.

关 键 词：胰腺炎/治疗 引流 内窥镜逆行胰胆管造影术/治疗应用 

分 类 号：R576[医药卫生—消化系统] R443.8[医药卫生—内科学]