内镜诊治急性胆源性胰腺炎临床疗效分析  

The curative effect analysis of endoscopic treatment on diagnosis and treatment of acute billiard pancreatitis

作　　者：龚勇[1] 仝巧云[1] 郑世华[1] GONG Yong TONG Qiao-yun ZHENG Shi-hua(Digestive Disease Research Institute,China Three Gorges University Department of Gastroenterology, Yichang Central People＇s Hospital,Yichang 443003, Hubei Province,Chin)

机构地区：[1]三峡大学消化病研究所宜昌市中心人民医院消化内科,湖北宜昌443003

出　　处：《临床消化病杂志》2016年第6期361-363,共3页Chinese Journal of Clinical Gastroenterology

摘　　要：[目的]分析内镜诊治急性胆源性胰腺炎(ABP)的临床疗效及价值。[方法]收集确诊为胆源性胰腺炎患者90例,分为内镜治疗组36例及常规治疗组54例,比较2组临床疗效。[结果]内镜治疗组的症状缓解时间及住院天数明显少于常规治疗组,2组比较差异有统计学意义(P<0.05);内镜治疗组患者术后胰腺脓肿、假性囊肿等并发症及死亡例数明显少于常规治疗组,2组比较差异有统计学意义(P<0.05)。[结论]ABP早期内镜治疗可促进病情迅速改善,并减少并发症发生,疗效明显优于单纯内科治疗。[Objective]To explore the clinical value of endoscopy on diagnosis and treatment of acute bil- liard pancreatitis（ABP）. [Methods]Clinical data during 2010 to 2013 of 36 cases with At3P underwent endo- scopic therapy and 54 cases treated with conventional therapy were analyzed retrospectively. The clinical value of endoscopy in diagnosis and treatment of ABP were evaluated. [Results]Endoscopic remission time and hospitalization days in treatment group were significantly less than the conventional group（P〈0.05）. Patients with postoperative panCreatic abscess, and pseudo cyst, complications and mortality in endoscopic treatment group were significantly less than the conventional group（P〈0.05）. [Conclusion]Early endo- scopic treatment in acute billiard pancreatitis can promote rapid improvement, reduce complications. The curative effect is superior to conventional treatment alone.

关 键 词：急性胆源性胰腺炎 内镜治疗 疗效 

分 类 号：R576[医药卫生—消化系统]