中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2010年
17期
2369-2370
,共2页
ERCP%胆胰疾病%诊断%治疗%价值
ERCP%膽胰疾病%診斷%治療%價值
ERCP%담이질병%진단%치료%개치
Endoscopic retrograde cholangiopancreatography%Pancreaticobiliary disease%Diagnostic%Therapy%Value
目的 探讨治疗性内镜逆行性胰胆管造影术(ERCP)在胆胰疾病中的应用价值.方法 回顾性分析行ERCP诊断、治疗的100例胆胰疾病患者的临床资料并与B超、CT诊断进行比较.结果 100例患者行ERCP诊断、治疗,成功95例(95.0%);行ERCP单纯诊断的64例,经内镜括约肌切开取石(EST)36例,其中胆总管单发结石14例,多发结石19例;ERCP、B超和CT诊断率分别为96.0%、39.0%和64.0%,ERCP诊断率高于B超和CT(x2=7.05,P<0.01,x2=3.83,P<0.05);术后并发症胃肠道出血2例(2.0%)、急性胆管炎1例(1.0%);急性胰腺炎2例(2.0)%,均经内科保守治疗全愈.结论 ERCP对胆胰疾病是一种有效的诊断、治疗手段.
目的 探討治療性內鏡逆行性胰膽管造影術(ERCP)在膽胰疾病中的應用價值.方法 迴顧性分析行ERCP診斷、治療的100例膽胰疾病患者的臨床資料併與B超、CT診斷進行比較.結果 100例患者行ERCP診斷、治療,成功95例(95.0%);行ERCP單純診斷的64例,經內鏡括約肌切開取石(EST)36例,其中膽總管單髮結石14例,多髮結石19例;ERCP、B超和CT診斷率分彆為96.0%、39.0%和64.0%,ERCP診斷率高于B超和CT(x2=7.05,P<0.01,x2=3.83,P<0.05);術後併髮癥胃腸道齣血2例(2.0%)、急性膽管炎1例(1.0%);急性胰腺炎2例(2.0)%,均經內科保守治療全愈.結論 ERCP對膽胰疾病是一種有效的診斷、治療手段.
목적 탐토치료성내경역행성이담관조영술(ERCP)재담이질병중적응용개치.방법 회고성분석행ERCP진단、치료적100례담이질병환자적림상자료병여B초、CT진단진행비교.결과 100례환자행ERCP진단、치료,성공95례(95.0%);행ERCP단순진단적64례,경내경괄약기절개취석(EST)36례,기중담총관단발결석14례,다발결석19례;ERCP、B초화CT진단솔분별위96.0%、39.0%화64.0%,ERCP진단솔고우B초화CT(x2=7.05,P<0.01,x2=3.83,P<0.05);술후병발증위장도출혈2례(2.0%)、급성담관염1례(1.0%);급성이선염2례(2.0)%,균경내과보수치료전유.결론 ERCP대담이질병시일충유효적진단、치료수단.
Objective To investigate the value of therapeutic endoscopic retrograde cholangiopancreatography (ERCP) in the patients with pancreaticobiliary diseases and the methods to manage complications. Methods 100 cases treated with ERCP were analyzed retrospectively. Compared with hepatobiliary diseases were examined with ERCP,abdominal B-ultrasound and CT simultaneously. Results 100 cases underwent ERCP,the success and failure were 95 cases and 5 cases respectively;64 cases with simple diagnostic in ERCP,36 cases in EST;EST was performed on 36 patients with hepatobiliary stones. Stones were removed from 14 patients with single common bile duct stones and 19 patients with multiple duct stones;The diagnostic rate of ERCP、abdominal B ultrasound、CT were 96.0%、39. 0% and 64.0% respectively. The rate of diagnosis in ERCP were higher than the B ultrasound and CT(x2 =7. 05 ,P ＜ 0. 01 ,x2 = 3.83, P ＜ 0. 05); The complication of gastro-intestinal tract bleeds in 2 cases (2.0%)、 acute cholangitis in 1 case (1.0%) 、acute pancreatitis in 2 cases(2.0)%, pass through the internal medicine to treat conservatively completely recovers from an illness after treatment. Conclusion Therapeutic ERCP was effective and minimally invasive treatment for pancreaticobiliary diseases.
