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目的为了探讨导丝技术在预防经内镜逆行性胰胆管造影(ERCP)术后高淀粉酶血症及胰腺炎的价值。方法对需要进行ERCP手术操作的不同病因的126例患者,采用导丝引导插管;运用直接插入法、借助导管法、借助切开刀法、导丝头端塑形法进行胆管的选择性插管。结果使用导丝新技术,高淀粉酶血症及胰腺炎的发生率分别为6.98%(9/126)和3.96%(5/126),而使用常规的ERCP技术发生率分别为26.0%(39/150)和8.0%(16/150),胰腺炎并发症明显下降(P<0.05)。采用导丝新技术引导插管对不同疾病的126例完成的造影成功率为96.0%,治疗成功率为91.3%,而使用常规的ERCP技术150例造影成功率、治疗成功率分别为86.0%(129/150)、79.3%(119/150),提示造影成功率和治疗成功率均有明显提高(P<0.01)。结论采用导丝技术引导插管可以提高ERCP操作成功率、降低高淀粉酶血症及胰腺炎的发生率。
Objective To investigate the value of guide wire in the prevention of hypermylase and pancreatitis after endoscopic retrograde cholangiopancreatography (ERCP). Methods A total of 126 patients with different etiological factors required ERCP were treated with guide wire to guide intubation. The direct insertion method was used to select the bile ducts by means of catheterization method and incision method. tube. Results The incidence of hypermylase and pancreatitis was 6.98% (9/126) and 3.96% (5/126) respectively for the new guidewire technique, compared with 26.0% (39%) for the conventional ERCP technique / 150) and 8.0% (16/150), pancreatitis complications decreased significantly (P <0.05). Guided by new guidewire technology for 126 cases of different diseases of the completion of the angiography success rate was 96.0%, the success rate was 91.3%, while the use of conventional ERCP 150 cases of angiography success rate, the treatment success rates were 86.0% ( 129/150) and 79.3% (119/150) respectively, which suggested that both the success rate of imaging and the success rate of treatment were significantly improved (P <0.01). Conclusion Guided cannulation guided wire can improve the success rate of ERCP operation and reduce the incidence of hyper amylase and pancreatitis.