重症急性胆源性胰腺炎内镜治疗时机探讨  

Study on occasion of endoscopic therapy with severe acute biliary pancreatitis

作　　者：张立广[1] 邵青龙[1] 李全福[2] 刘建辉[1] 郭超[1] 钟永刚[1] 

机构地区：[1]河北省保定市第二医院肝胆外科,河北保定071051 [2]卫生部肝胆肠外科研究中心,湖南长沙410008

出　　处：《中国内镜杂志》2013年第3期291-294,共4页China Journal of Endoscopy

摘　　要：目的探讨重症急性胆源性胰腺炎(ABP)内镜治疗的时机与疗效。方法分析该院2006年2月～2012年3月31例重症ABP治疗的临床资料。结果内镜治疗组患者腹痛缓解时间、血淀粉酶恢复正常时间、平均住院时间、并发症发生情况均少于手术组(P<0.05)。结论重症ABP应尽早行内镜治疗。对重症ABP,或预测为重症ABP的患者应在发病后24～72h内行急诊内镜治疗,解除胆源性梗阻因素。[Objective] To investigate the occasion and therapeutics with severe acute biliary pancreatitis （ABP）. [Method] Clinical data of 31 cases with ABP was analyzed which in our hospital in February 2006～March 2012. [Results] Which is less than surgery group （P 0.05） that the time of abdominal pain relief, the time of serum amylase returned to normal, the time of the hospitalization, the case of complications. [Conclusion] Endoscopic therapy should be taken against with severe ABP as early as possible. Emergency endoscopic therapy should be taken within 24～72 h to the patients with severe ABP, or is forecasted with severe ABP, so that the factor of biliary pancreatitis is relieved.

关 键 词：重症急性胆源性胰腺炎 内镜 治疗 

分 类 号：R657.51[医药卫生—外科学]