ERCR诊断和治疗胆管梗阻性疾病160例临床分析  

Clinical Analysis of 160 Cases of ERCP Diagnosing and Treating Obstruction of Common Bile Duct

作　　者：张军霞[1] 张淑梅[1] 

机构地区：[1]石家庄市第一医院消化一科,石家庄050011

出　　处：《医学综述》2013年第15期2877-2879,共3页Medical Recapitulate

摘　　要：目的探讨经内镜逆行胰胆管造影术(ERCP)在胆管梗阻性疾病中的诊断和治疗价值。方法回顾性分析2009年1月至2013年5月石家庄市第一医院消化一科完成的ERCP检查或治疗的160例胆管梗阻性患者的临床资料,与常规影像学诊断方法进行比较并对比治疗前后肝功能变化。结果 ERCP诊断治疗胆管结石143例,壶腹癌8例、胆管癌6例、胰腺导管内乳头状黏液腺瘤1例、原因不明的胆总管扩张2例。明确诊断率达98.75%。经ERCP治疗后,丙氨酸转氨酶、天冬氨酸转氨酶、谷氨酰转肽酶、总胆红素均下降,肝功能显著改善(P<0.05)。结论 ERCP对胆管梗阻性疾病的病因诊断和治疗有效、安全,可替代部分胆胰外科手术,实现微创治疗。Objective To explore the clinical value of endoscopic retrograde cholangiopancreatography（ERCP） in diagnosis and treatment of obstruction of common bill duct.Methods One hundred and sixty patients undergoing ERCP from Department One of Digestive of Shijiazhuang No.1 Hospital during Jan.2009 and May 2013 were prospectively enrolled.The clinical data was compared with conventional imaging diagnostic methods and the changes of liver function before and after treatment were contrasted.Results ERCP diagnosed and treated of 143 cases of bile duct stones,8 cases of ampullary carcinom,6 cases of cholangiocarcinoma,1 case if pancreatic intraductal papillary mucinous adenoma,and 2 cases of unexplained choledochectasia.The diagnosis rate of ERCP examination was 98.75%.After ERCP treatment,alanine aminotransferase,aspartate aminotransferase,glutamyl GGT,total bilirubin decreased,liver function improved significantly（P 0.05）.Conclusion ERCP is an efficient and safe method in diagnosis and treatment of bile duct obstruction diseases,which can replace some kind of surgical operation to realize the minimally-invasive operation.

关 键 词：内镜逆行胰胆管造影术 胆管梗阻 诊断 治疗 

分 类 号：R576[医药卫生—消化系统]