不同原发疾病行治疗性经内镜逆行胰胆管造影术后胆道出血的风险及防治对策  

Risk of Biliary Bleeding after Therapeutic Endoscopic Retrograde Cholangiopancreatography in Different Primary Diseases and Its Prevention and Treatment

作　　者：谭增光 冯树开 王军 冯淑娟 TAN Zengguang;FENG Shukai;WANG Jun;FENG Shujuan(Yangdong District People’s Hospital of Yangjiang City,Yangjiang 529900,China)

机构地区：[1]阳江市阳东区人民医院

出　　处：《中外医学研究》2020年第1期134-136,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨治疗性经内镜逆行胰胆管造影术(ERCP)后胆道出血与原发疾病的关系,总结防治对策。方法:以2016年1月-2019年1月笔者所在医院46例治疗性ERCP术后并发胆道出血的患者为试验组,另择取同期46例治疗性ERCP后未并发胆道出血的患者为对照组,回顾性分析两组临床资料,比较观察两组原发疾病,分析不同疾病类型的术后出血风险。结果:试验组壶腹部结石嵌顿9例(19.57%)、胆胰恶性肿瘤7例(15.22%),两项原发疾病占比均高于对照组,差异均有统计学意义(P<0.05)。结论:对于壶腹部结石嵌顿和胆胰恶性肿瘤患者而言,行治疗性ERCP后更易发生胆道出血,建议加强围术期观察及处理。Objective:To explore the relationship between biliary hemorrhage and primary disease after endoscopic retrograde cholangiopancreatography,summarize the prevention and treatment strategies.Method:From January 2016 to January 2019,46 patients with biliary hemorrhage after treatment of ERCP in our hospital were enrolled in the study group.46 patients with concurrent biliary bleeding after treatment ERCP were selected as the control group.The clinical data of the two groups were analyzed,the primary diseases of the two groups were compared,to analyzed the risk of postoperative bleeding of different disease types.Result:In the experimental group,9 cases(19.57%)with ampullary calculi and 7 cases(15.22%)with biliary and pancreatic malignant tumors,the proportion of the two primary diseases were higher than the control group,the differences were statistically significant(P<0.05).Conclusion:Patients with ampullary calculi incarceration and biliary and pancreatic malignancies are more likely to develop biliary tract bleeding after ERCP.It is recommended to strengthen perioperative observation and treatment.

关 键 词：经内镜逆行胰胆管造影术 原发疾病 胆道出血 风险 

分 类 号：R575[医药卫生—消化系统]