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目的探讨内镜介入治疗青少年慢性胰腺炎的方法和临床疗效。方法以2002年亚太共识报告中提出的共识意见为慢性胰腺炎诊断标准,回顾分析1997年1月到2006年8月间经内镜介入治疗的青少年慢性胰腺炎患者临床资料,内镜治疗方法等,并随访其疗效。结果 36例青少年慢性胰腺炎患者,共行 ERCP77次,其中1例2次插管失败,1例胰管置入术未成功,2例失访;成功进行内镜介入治疗和随访的32例患者中,内镜治疗后完全缓解和部分缓解者共26例(81.2%),4例最终行手术治疗;ERCP 术后并发症发生率为26.7%(20/75),均经短期药物治疗后好转,无出血、穿孔、死亡病例。结论内镜在治疗青少年慢性胰腺炎方面的初步疗效确切,可作为青少年慢性胰腺炎的一线治疗方法。
Objective To investigate the method and clinical efficacy of endoscopic interventional treatment of adolescent chronic pancreatitis. Methods Based on the consensus opinion in the 2002 Asia-Pacific Consensus Report, the diagnostic criteria of chronic pancreatitis were retrospectively analyzed. The clinical data, endoscopic treatment, etc. of adolescents with chronic pancreatitis undergoing endoscopic interventional therapy between January 1997 and August 2006 were retrospectively analyzed , And follow-up of its efficacy. Results Thirty-six patients with adolescent chronic pancreatitis were treated with ERCP for 77 times, of which 1 case had failed intubation twice, 1 case failed pancreatic duct placement and 2 cases lost their follow-up. Among the 32 patients who underwent endoscopic intervention and follow-up, Among them, 26 cases (81.2%) were completely relieved and partially relieved after endoscopic treatment, and 4 cases were finally surgically treated. The incidence of complications after ERCP was 26.7% (20/75), both of which were improved after short-term drug treatment No bleeding, perforation, deaths. Conclusion Endoscopic treatment of adolescents with chronic pancreatitis initial effect is accurate, as a first-line treatment of chronic pancreatitis in adolescents.