急性胆源性胰腺炎ERCP干预时机探讨及预后分析  

Discussion on ERCP intervention timing for severe acute biliary pancreatitis and prognostic analysis

作　　者：赵露[1] 张丙印[1] 刘丹青[1] 

机构地区：[1]成都军区总医院普外中心,成都610083

出　　处：《西南国防医药》2016年第2期132-134,共3页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的探讨内镜下逆行胰胆管造影治疗（ERCP）技术在急性胆源性胰腺炎（ABP）治疗中的合适干预时机。方法回顾性分析本中心2010年1月~2013年6月100例经ERCP治疗的ABP患者资料,按照从发病到内镜治疗时间分为A组（〈24 h治疗组）65例,B组（〉24 h治疗组）35例,分别对两组术后的腹痛症状完全消失时间,白细胞计数、血清淀粉酶、肝功指标恢复正常时间,平均住院日及并发症发生情况进行分析比较。结果 A组腹痛症状完全消失时间,白细胞计数、血清淀粉酶、肝功指标恢复正常时间和平均住院日均短于B组（P〈0.05）;A组出现并发症6例（9.2%）,B组出现并发症10例（28.6%）,两组并发症的发生率有统计学差异（P〈0.05）。结论 ABP应按急诊规范尽早行ERCP治疗,患者病情康复更快,并发症发生率更低。Objective To study the proper intervention timing of ERCP in the treatment of acute gallstone pancreatitis （ABP）. Mothcds A retrospective analysis was made in the data of 100 ERCP patients treated by ERCP between January 2010 and June 2013. According to the time from onset to endoscopic treatment, those patients were divided into group A （treatment 〈24 h group with 65 cases） and group B （treatment 〉24 h group with 35 cases）. Comparison and analysis were made in the disappearing time of postoperative abdominal pain, white blood cell count, serum amylase, the recovery time of liver function to normal level, the average days of hospitalization, and complications between the two groups. Remalta The disappearing time of postoperative abdominal pain, the recovery time of white blood cell count, serum amylase, and liver function to normal level, and the average days of hospitalization in group A were shorter than those in group B（P 〈 0.05）. There were 6 cases of complications（9.2%） in group A and 10 ones in group B（28.6%）. The difference in the incidence of complications between the two groups was significant. Conclusion ABP patients should receive ERCP treatment as soon as possible based on the emergency specification in order to achieve faster recovery and lower incidence of complications.

关 键 词：急性胆源性胰腺炎 内镜治疗 手术时机 

分 类 号：R657.51[医药卫生—外科学]