经内镜治疗急性胰腺炎临床探讨  

Endoscopic intervention for acute pancreatitis: clinical report

作　　者：王学汉[1] 杨伦红[1] 胡康[1] 胡韵[1] 夏亮芳[1] 周怀文[1] 

机构地区：[1]贵阳医学院第一附属医院普外科

出　　处：《中华消化内镜杂志》1999年第2期83-85,共3页Chinese Journal of Digestive Endoscopy

摘　　要：目的探讨内镜治疗急性胰腺炎（ＡＰ）的临床效果。方法采用经内镜鼻胆（胰）管引流（ＥＮＢ（Ｐ）Ｄ）及经内镜乳头括约肌切开术（ＥＳＴ）等内镜技术治疗ＡＰ５６例，其中重症急性胰腺炎（ＳＡＰ）３６例。结果治愈５３例，死亡２例，因胰腺出血致导管堵塞改行手术１例。结论内镜治疗以微小创伤达到满意外科引流效果，能够有效地降低胆胰管内压，缓解胰腺病变，起到治疗作用，不失为ＡＰ治疗手段和方法上的一个补充，具有一定的临床使用价值。Objective The clinical outcome of acute pancreatitis treated by the aid of endoscopy was reviewed.Methods A series of consecutive patients with acute pancreatitis(n=56 including 36 serious ones) was treated mainly with endoscopic naso biliary(pancreatic) drainage,sphincterotomy(EST)as well as drugs.Results Fifty three cases were thus cured,two died,one switched to surgery because of pancreatic duct occlusion from blood clot.Conclusion With ENB(P)D±EST the intraductal pressure can be lowered and the cause of occlusion be relieved with therapeutic effect.It is considered that endoscopic intervention is a practice of choice for selected acute pencreatitis.

关 键 词：胰腺炎 AP SAP 内窥镜 ENBD ENPD EST 

分 类 号：R657.510.5[医药卫生—外科学]