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76例急性胰腺炎(包括3例重症急性胰腺炎)接受了内镜胆管减压术(EBD)。包括内镜鼻胆管引流术(ENBD)55例,内镜乳头括约肌切开术(ES)14例。在减压成功的69例中顺利治愈67例,治愈率97.1%。EBD 术不成功改为其它治疗者7例。与剖腹手术比较,EBD 具有简便、安全、对患者打击小的优点。胰腺炎多为胆胰共同通道被结石、蛔虫堵塞,高压的胆汁逆流进入胰管所致。EBD 可解除这种堵塞,使胆胰分流,从根本上消除胰腺炎进一步加重的因素。
76 cases of acute pancreatitis (including 3 cases of severe acute pancreatitis) underwent endoscopic cholangial decompression (EBD). Including endoscopic nasobiliary drainage (ENBD) in 55 cases, endoscopic sphincterotomy (ES) in 14 cases. In the successful decompression of 69 cases, 67 cases were cured, the cure rate was 97.1%. EBD failed to change to other treatment in 7 cases. Compared with laparotomy, EBD has the advantages of simplicity, safety, and small impact on patients. Pancreatitis and gallbladder common pathways are stones, roundworm congestion, high pressure bile reflux into the pancreatic duct caused. EBD can lift this blockage, so that biliary and pancreatic shunt, radically eliminate the further aggravating factors of pancreatitis.