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目的 探讨内镜治疗慢性阻塞性胰腺炎疗效及并发症。方法 经内镜治疗 29例慢性胰腺炎中胰管括约肌切开术 27例 (19例为内镜治疗前处置 )，副乳头切开 8例，乳头括约肌切开术 5例，网篮取胰石 9例，胰管内引流 7例，鼻胰管引流 3例，辅助探条或球囊扩张共 14例。 13例治疗前、后检测胰腺内分泌功能。结果 29例中 26例（ 89.7％）治疗后腹痛消失或明显减轻， 9例胰腺结石患者中 6例取出胰石； 7例胰管内引流第 6周末拔管，引流管未阻塞。治疗后复查口服法糖耐量试验和免疫反应性胰岛素， 6例糖代谢异常中 1例境界型转为正常型， 1例糖尿病型转为境界型。本组有 2例并发急性胰腺炎， 1例胰液感染。 18例随访 1年半， 3例腹痛再发。结论 内镜治疗慢性胰腺炎是一种较安全、有效的方法。
Objective To investigate the efficacy and complications of endoscopic treatment of chronic obstructive pancreatitis. Methods Endoscopic treatment of chronic pancreatitis in 29 cases of pancreatic duct sphincterotomy in 27 cases (19 cases of endoscopic treatment before treatment), 8 cases of secondary papilla incision, nipple sphincterotomy in 5 cases, basket baskets of stone 9 cases, drainage in pancreatic duct in 7 cases, nasogastric tube drainage in 3 cases, auxiliary probe or balloon expansion in 14 cases. 13 cases of pancreatic endocrine function before and after treatment. Results Twenty-nine of 26 patients (89.7%) had disappeared or were relieved of abdominal pain, 6 of 9 patients with pancreatic calculi removed pancreatic stone, 7 of them were extubated at the end of the sixth week, and the drainage tube was not obstructed. After treatment, oral glucose tolerance test and immunoreactive insulin were reexamined. Of the 6 cases of glucose metabolism abnormality, one case turned to normal type and one case of diabetes mellitus turned to realm type. This group has 2 cases of acute pancreatitis, pancreatic infection in 1 case. 18 cases were followed up for 1 year and a half, and 3 cases of recurrent abdominal pain. Conclusion Endoscopic treatment of chronic pancreatitis is a safer and more effective method.