选择性胆管插管对经内镜逆行性胰胆管造影术后胰腺炎发生率和严重程度的影响  

Influence of selective bile duct intubation to incidence and severity of pancreatitis after endoscopic retrograde pancreatic angiography

作　　者：章杰[1] 龙丹[1] 王富华[1] 

机构地区：[1]福建省龙岩市第二医院消化内科,福建龙岩364000

出　　处：《中国医药科学》2016年第19期175-178,共4页China Medicine And Pharmacy

摘　　要：目的探讨选择性胆管插管对经内镜逆行性胰胆管造影术后胰腺炎发生率及其严重程度的影响。方法将在我院在2014年8月-2016年7月期间收治的82例经内镜逆行性胰胆管造影术患者作为研究的对象,将其分为对照组（41例）和观察组（41例）。对照组患者采用常规胆管插管,观察组患者则采用选择性胆管插管,比较两组患者的胰腺炎发生率及其严重程度。结果观察组患者术后胰腺炎、高淀粉酶血症发生率均明显低于对照组,差异有统计学意义（P〈0.05）;其中,轻度胰腺炎发生率低于对照组,有统计学意义（P〈0.05）;两组患者中度、重度胰腺炎发生率无明显差异,腹痛缓解时间并无明显性差异,无统计学意义（P〉0.05）;观察组患者住院时间少于对照组,差异有统计学意义（P〈0.05）;平均插管时间、平均插管次数均少于对照组,差异均有统计学意义（P〈0.05）。结论给予经内镜逆行性胰胆管造影术患者选择性胆管插管,能够有效减少术后胰腺炎、高淀粉酶血症的发生率及胰腺炎严重程度,具有较佳的疗效性、安全性,值得推广。Objective To explore the influence of selective bile duct intubation to incidence and severity of pancreatitis after endoscopic retrograde pancreatic angiography. Methods 82 cases of patients with endoscopic retrograde pancreatic angiography in our hospital from August 2014 to July 2016 were selected as the research object. They were divided into control group（41 cases） and observation group（41 patients）. Patients in control group were treated with routine bile duct intubation, and patients in observation group were treated with selective bile duct intubation. The incidence of acute pancreatitis and its severity of the two groups were compared. Results The high amylase hematic disease incidence of postoperative pancreatitis of observation group were significantly lower than those of control group, and the difference was statistically significant（P〈0.05）. Among them, the incidence of mild pancreatitis of observation group was lower than that of control group, and the difference was statistically significant（P〈0.05）. There was no difference on the incidence of moderate and severe pancreatitis, abdominal pain relief time and no obvious difference between the two groups, and the differences had no statistical significance（P〉0.05）. Hospital time of observation group was less than that of control group, and the difference was statistically significant（P〈0.05）. Average intubation time and average intubation time of observation group were less than those of control group, and the difference had statistical significance（P〈0.05）. Conclusion Selective bile duct intubation in treatment of pancreatitis after endoscopic retrograde pancreatic angiography can effectively reduce the incidence of postoperative pancreatitis, high blood amylase and pancreatitis severity. It has better curative effect, safety. And it is worth promoting.

关 键 词：选择性胆管插管 经内镜逆行性胰胆管造影术 胰腺炎 并发症 

分 类 号：R576[医药卫生—消化系统]