经内镜逆行胰胆管造影术后胰腺炎的高危因素分析及防治  

The High-risk Factors and Prevention for Pancreatitis After Endoscopic Retrograde Cholangiopancreatography

作　　者：朱季军 朱美玲[1] 刘加宁[1] 蔡奉娟 黄红梅[1] 

机构地区：[1]江苏省宿迁市人民医院消化科,宿迁223800

出　　处：《中国医药导刊》2011年第12期2048-2048,2052,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨胰腺炎在经内镜逆行胰胆管造影术后并发的高危因素及防治措施。方法:选择我院2004年1月～2011年1月收治的行ERCP术的患者130例,对其临床资料进行分析。结果:观察组年龄、女性、PEP病史、胰管括约肌切开术、胰腺显影、胆道括约气囊扩张术、操作时间长、操作例数少、插管失败或难度大和PEP的发生有一定相关性(P<0.05)。结论:在胆胰疾病中ERCP是较好的方法,对诱发胰腺炎发生的高危因素进行分析并采取有效措施干预,可降低胰腺炎及并发症的发生率,提高患者生存质量。Objective：To discuss the high-risk factors and the control measures of pancreatitis＇s Postoperative complications for endoscopic retrograde cholangiopancreatography（EPRC）.Methods：130 patients who admitted to line EPRC in our hospital were secelted to analyse the clinical data.Results：The age,femal,PEP history,pancreatic sphmcterotomy,pancreatic imaging,biliary sphincter balloon diiation,long operating time,a small number of operating cases,intubate difficult or fail all had a certain correlation with the occurrence of PEP（P0.05）for observed groups.Conclusion：ERCP is a better method in biliary and pancreatic diseases,analyse the risk factors for induced pancreatitis and take effective measures to intervent,reduee the incidence of pancreatitis and its complications,improve patient s＇QOL.

关 键 词：经内镜逆行胰胆管造影术 胰腺炎 高危因素 

分 类 号：R576[医药卫生—消化系统]