CAJ | 학술논문

目的对发病早期(72 h)患有急性胆源性胰腺炎的病人行ERCP(内镜逆行胰胆管造影)、EST(内镜下括约肌切开术)、ENBD(内镜下鼻胆管引流术)等诊断及微创治疗.以动态评价治疗性EKCP的安全性和临床疗效.方法随机将100例急性胆源性胰腺炎患者分为A、B两组,A组行ERCP检查和治疗,B组行内科保守疗.分别观察两组的腹痛缓解时间、胰腺炎相关的并发症的发生率、病死率及住院时间,及治疗后前3 d的血淀粉酶、白细胞数、体温的动态变化.结果患者A组较B组在48 h、72 h血淀粉酶、白细胞数、体温的动态变化显著,两组的腹痛缓解时间、胰腺炎相关的并发症的发生率及住院时间差异显著.结论在早期急性胆源性胰腺炎的临床中,治疗性EKCP是安全、有效的方法.
목적 대발병조기(72 h)환유급성담원성이선염적병인행ERCP(내경역행이담관조영)、EST(내경하괄약기절개술)、ENBD(내경하비담관인류술)등진단급미창치료.이동태평개치료성EKCP적안전성화림상료효.방법 수궤장100례급성담원성이선염환자분위A、B량조,A조행ERCP검사화치료,B조행내과보수료.분별관찰량조적복통완해시간、이선염상관적병발증적발생솔、병사솔급주원시간,급치료후전3 d적혈정분매、백세포수、체온적동태변화.결과 환자A조교B조재48 h、72 h혈정분매、백세포수、체온적동태변화현저,량조적복통완해시간、이선염상관적병발증적발생솔급주원시간차이현저.결론 재조기급성담원성이선염적림상중,치료성EKCP시안전、유효적방법.
Objective To evaluate the clinical efficacy and safety of therapeutic endoscopic retrograde cholangiopancreatography (ERCP) including en-doscopic sphmeterotomy(EST) and endoscopic nasal biliary drainage(ENBD) in early acute biliary panereatitis(72 h). Methods 100 cases of acute biliary pan-creatitis, which were randomly divided into A and B groups, were respectively treated with early therapeutic ERCP and internal medical therapy with effect, com-plications and safety evaluated. Results The level sof serum amylase, leukocyte, body temperature, related severe complications were obviously different from group A to group B (P<0.05). Significant differences of medium abdominal pain-relieving time and medium hospitalization time existed between two groups. Conclusion The results indicate that therapeutic endoscopic retrograde eholangiopancreatography is an effective, safe treatment for acute biliary pancreatitis.