内镜逆行胰胆管造影相关围十二指肠穿孔的治疗体会(附5例报告)  

Treatment of endoscopic retrograde cholangiopancreatography-related peri-duodenal perforation:with a report of 5 cases

作　　者：仝小刚[1] 刘东斌[1] 王喆[1] 方育[1] 郑亚民[1] 梁阔[1] 刘家峰[1] 李开富[1] 江华[1] 王悦华[1] 李非[1] 徐大华[1] TONG Xiao-gang;LIU Dong-bin;WANG Zhe(Department of General Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院普通外科,首都医科大学,北京100053

出　　处：《腹腔镜外科杂志》2020年第6期428-431,共4页Journal of Laparoscopic Surgery

基　　金：人社部留学人员科技活动择优资助项目(008-0095)。

摘　　要：目的:探讨内镜逆行胰胆管造影(ERCP)相关围十二指肠穿孔的临床特点及诊治方法。方法:回顾收治的5例ERCP相关围十二指肠穿孔病例,并分析近十年此类病例的中英文文献。结果:5例患者中StapferⅡ病3例,StapferⅠ、Ⅲ各1例。1例StapferⅡ型患者保守治疗,4例行2次手术。3例良性疾病患者经再次手术治疗痊愈出院,2例恶性疾病患者均死亡。结论:及时果断的外科手术可能是ERCP相关围十二指肠穿孔的合理选择。Objective:To investigate the clinical features and diagnosis and treatment of endoscopic retrograde cholangiopancreatography(ERCP)-related peri-duodenal perforation.Methods:Five cases of ERCP-related perforation of the duodenum were reviewed,and related literatures in recent ten years were analyzed.Results:Among the 5 patients,there were 3 cases of StapferⅡdisease,1 case of StapferⅠand 1 case of StapferⅢ.One patient with StapferⅡwas treated conservatively,and the other four patients underwent two operations.3 cases of benign disease were cured after re-operation,and 2 patients of malignant disease died.Conclusions:Prompt and decisive surgery may be a reasonable choice for ERCP-related peri-duodenal perforation.

关 键 词：内镜逆行胰胆管造影 围十二指肠穿孔 

分 类 号：R656.6[医药卫生—外科学]