论文部分内容阅读
目的探讨急性胆源性胰腺炎早期内镜治疗的价值及其安全性。方法选择92例急性胆源性胰腺炎患者早期(72 h内)行ERCP及内镜治疗(ERCP组),并与同期保守治疗40例(对照组)进行比较。结果ERCP组全部成功实施十二指肠乳头切开取石,72例胆总管结石者行网篮及气囊取石,所有92例均行鼻胆管引流,重症组10例同时行胰管支架引流。ERCP组平均腹痛消失时间、血清淀粉酶恢复时间、平均住院天数及平均费用均明显低于对照组。ERCP组重症组病死率8．3％,对照组重症组病死率33．3％。结论急性胆源性胰腺炎早期ERCP治疗是安全的,能降低患者的病死率,减少患者住院天数和费用。
Objective To investigate the value and safety of early endoscopic treatment of acute gallstone pancreatitis. Methods Ninety-two patients with acute biliary pancreatitis were treated with ERCP and ERCP at early stage (within 72 hours), and compared with conservative treatment of 40 cases (control group). Results All of the ERCP patients successfully performed duodenal papillactomy. 72 cases of choledocholithiasis were screened by balloon basket and balloon. All 92 cases underwent nasobiliary drainage, and 10 cases of severe group received drainage of pancreatic duct stents at the same time. ERCP group average abdominal pain disappear time, serum amylase recovery time, the average length of stay in hospital and the average cost were significantly lower than the control group. In the ERCP group, the case fatality rate was 8.3% and that in the control group was 33.3%. Conclusion Early ERCP treatment of acute biliary pancreatitis is safe, which can reduce the mortality of patients and reduce the length of hospital stay and costs.