内镜诊治急性胆源性胰腺炎的临床分析  

Clinical Analysis of Endoscopy in Diagnosis and Treatment of Acute Biliary Pancreatitis

作　　者：覃华[1] 李德民[1] 王波[1] 李荣香[1] 张敏[1] 胡继芬[1] 刘南植[1] 赵秋[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院,武汉430030

出　　处：《内科急危重症杂志》2011年第5期282-284,共3页Journal of Critical Care In Internal Medicine

摘　　要：目的:评价内镜诊治急性胆源性胰腺炎(ABP)的临床价值。方法:回顾性分析内镜治疗的114例ABP患者以及内科常规治疗的106例ABP患者的临床资料,评价内镜诊治ABP的临床价值。结果:内镜治疗组114例均顺利完成逆行胰胆管造影(ERCP)检查并确诊,其中107例同时经内镜分别进行十二指肠乳头括约肌切开、胆管取石/蛔虫/血凝块、鼻胆管引流、胆管内置管/金属支架引流等治疗,术后所有患者均治愈出院,无明显并发症发生;与常规治疗组相比内镜治疗组平均住院时间明显缩短(12.1±4.2dvs.18.7±8.9d,P<0.05),平均住院费用明显降低(P<0.05)。结论:内镜治疗ABP是一项安全、有效的措施;早期ERCP检查可明确ABP的病因,同时内镜治疗可及时去除其病因。可明显缩短患者平均住院时间、降低平均住院费用。Objective： To evaluate the clinical value of endoscopy in diagnosis and treatment of acute biliary pancreatitis （ABP）. Methods： Clinical data of 114 cases with ABP underwent endoscopic therapy and 106 cases treated with routine treatments were analyzed retrospectively. The clinical value of endoscopy in diagnosis and treatment of ABP were evaluated. Results： Endoscopic retrograde cholangio-pancreatography （ERCP） was carried out successfully in all 114 patients, among which 107 cases underwent endoscopic treatments （endoscopic sphincterotomy, endoscopic retrograde biliary drainage, endoscopic biliary metallic stent drainage, or endoscopic nasobiliary drainage）. All 114 cases were cured after ERCP without obvious complications. The average length of hospital stay was significantly shorter （12.1±4.2 d vs18.7±8.9 d, P 0.05） and the costs were markedly lower in patients treated with ERCP compared with those with routine treatment （P0.05）. Conclusions： Endoscopic therapy is a safe and effective measure for patients with ABP. Early ERCP can confirm and eliminate the cause of ABP at one time, shorten the average length of hospital stay and reduce the average costs of hospitalization.

关 键 词：内镜逆行胰胆管造影 急性胆源性胰腺炎 内镜治疗 

分 类 号：R576[医药卫生—消化系统]