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目的探讨慢性胰腺炎(CP)的内镜治疗效果。方法回顾性分析解放军总医院2000年11月至2009年3月住院且经内镜治疗的99例CP患者的临床病例资料,评价内镜治疗CP的效果。结果成功治疗并随访77例患者,内镜治疗后近期症状缓解率为86.9%,远期缓解率为61.0%。9例患者转而选择接受外科治疗,2例患者死亡。术后并发症9例次:术后胰腺炎5例次,出血2例次,胆道感染1例次,穿孔1例次,无死亡病例。结论内镜治疗CP是一种安全、有效的方法 。
Objective To investigate the effect of endoscopic treatment of chronic pancreatitis (CP). Methods The clinical data of 99 cases of CP patients hospitalized from November 2000 to March 2009 in PLA General Hospital were retrospectively analyzed to evaluate the effect of endoscopic treatment of CP. Results 77 patients were successfully treated and followed up. The rate of immediate symptom relief after endoscopic therapy was 86.9% and the long-term remission rate was 61.0%. Nine patients switched to surgery and two died. There were 9 cases of postoperative complications: 5 cases of postoperative pancreatitis, 2 cases of bleeding, 1 case of biliary tract infection and 1 case of perforation without any death. Conclusion Endoscopic treatment of CP is a safe and effective method.