鼻胆管引流术在预防治疗性ERCP术后并发症的应用  

The application of the endoscopic treatment of biliary drainage in the prevention of ERCP complications

作　　者：黄国进[1] 陆志平[1] 曾远程[1] 

机构地区：[1]江苏省常熟市第二人民医院消化内科,江苏常熟215500

出　　处：《实用临床医药杂志》2011年第11期84-85,共2页Journal of Clinical Medicine in Practice

摘　　要：目的探讨内镜下鼻胆管引流术在预防治疗性ERCP并发症的效果。方法分析2004年1月～2010年8月150例ERCP患者临床资料,其中76例于内镜治疗后行鼻胆管引流,74例患者未行鼻胆管引流。结果预防组术后4 h、24h分别有10例(13.2%)和5例(6.6%)发生高淀粉酶血症;对照组ERCP术后4 h、24 h分别有18例(24.3%)和10例(13.5%)发生高淀粉酶血症,ERCP术后高淀粉酶血症发生率,明显低于对照组。预防组1例(1.3%)发生轻症胰腺炎,对照组6例(8.1%)发生胰腺炎(P<0.05),急性胰腺炎发生率低于对照组。结论经内镜鼻胆管引流能够有效地预防ERCP术后急性胰腺炎及高淀粉酶血症的发生。Objective To investigate the endoscopic treatment of biliary drainage in the prevention of ERCP complications.Methods From January 2004 to August 2010,150 clinical data of ERCP cases,including 76 patients who underwent endoscopic treatment in nasal biliary drainage and 74 patients underwent no nasal biliary drainage were analyzed.Results Prevention group after 4 hours,24 hours were 10 cases(13.2%) and 5 patients(6.6%) had hyperamylasemia in the control group ERCP after 4 hours,24 hours,respectively,in 18 cases(24.3%) and 10 cases(13.5%) had hyperamylasemia,ERCP hyperamylasemia after the incidence was significantly lower than the control group.Prevention of group 1 patients(1.3%) had mild pancreatitis,control group 6 patients(8.1%),pancreatitis(P<0.05),acute pancreatitis was lower than the control group.Conclusion Endoscopic biliary drainage can effectively prevent acute pancreatitis after ERCP and the incidence of hyperamylasemia.

关 键 词：鼻胆管引流 经内镜逆行胰胆管造影 急性胰腺炎 高淀粉酶血症 

分 类 号：R575.7[医药卫生—消化系统]