ERCP术后并发症临床分析  

Clinical analysis for post-endoscopic retrograde cholangiopancreatography complications

作　　者：赵娅敏[1] 刘锦涛[1] 余细球[1] 范东俊[1] 

机构地区：[1]深圳市罗湖区人民医院消化内科,广东深圳518001

出　　处：《胃肠病学和肝病学杂志》2013年第7期708-710,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的分析ERCP术后并发症的发生情况及处理方法,探讨ERCP术后并发症的有效预防手段。方法回顾总结我院2003年1月-2012年4月214例行ERCP患者资料,分析ERCP术中、术后并发症发生情况及处理结果。结果 214例行ERCP的患者,共发生并发症30例(14.0%),其中出血5例(2.3%),术后胰腺炎5例(2.3%),高淀粉酶血症19例(8.9%),胆管炎1例(0.47%),无穿孔病例,所有患者均治愈出院。结论严格掌握适应证,精准操作,避免危险因素,可减少ERCP术中、术后并发症,提高治疗安全性。Objective To investigate the complications of post-ERCP and related treatment, and find the effective technique for prevention complications of ERCP. Methods 214 patients underwent ERCP from Jan. 2003 to Apr. 2012 in our hospital were analyzed retrospectively, the complications and their treatment during and post-ERCP were analyzed. Results There were 30 patients （ 14.0% ） occurred complications in 214 patients, including hemorrhage in 5 cases （ 2.3% ） , post-endosopie pancreatitis in 5 eases （ 2.3% ） , hyperamylasemia in 19 cases （ 8.8% ） , eholangitis in 1 case （0.46%） ,without perforation case. All patients were successfully treated. Conclusion The incidence of ERCP complications remained relatively low. Controlling the indications and eontraindieations of ERCP and EST, skillful manipulation, avoiding related risk factors can be used to improve the overall quality and safety of ERCP.

关 键 词：ERCP 乳头括约肌切开术 并发症 危险因素 

分 类 号：R616.5[医药卫生—外科学]