中华消化内镜杂志
中華消化內鏡雜誌
중화소화내경잡지
CHINESE JOURNAL OF DIGESTIVE ENDOSCOPY
2011年
2期
87-89
,共3页
丁国乾%秦鸣放%赵宏志%邹富胜
丁國乾%秦鳴放%趙宏誌%鄒富勝
정국건%진명방%조굉지%추부성
胰腺炎%支架%胰胆管造影术,内窥镜逆行
胰腺炎%支架%胰膽管造影術,內窺鏡逆行
이선염%지가%이담관조영술,내규경역행
Pancreatitis%Stents%Cholangiopancreatography,endoscopic retrograde
目的 探讨胰管支架在内镜治疗困难的急性胆源性胰腺炎中的临床应用价值.方法 选择2005年1月至2009年12月间入院行内镜治疗急性胆源性胰腺炎困难患者81例,随机分为胰管支架治疗组35例,而未放置胰管支架的46例患者作为对照组,术后2组使用相同药物治疗,病情平稳后取出胰管支架(平均11 d),出院后随访3个月.结果 2组术前平均年龄、发病至接受内镜时间、Glasgow评分及相关生化指标等差异无统计学意义,但胰管支架组术后并发症发生率与对照组差异有统计学意义(5.71%和17.39%,P<0.01).结论 在内镜治疗急性胆源性胰腺炎困难时使用胰管支架是安全的,能降低患者的并发症,为治疗急性胆源性胰腺炎的一种过渡性方法,具有一定的临床应用价值.
目的 探討胰管支架在內鏡治療睏難的急性膽源性胰腺炎中的臨床應用價值.方法 選擇2005年1月至2009年12月間入院行內鏡治療急性膽源性胰腺炎睏難患者81例,隨機分為胰管支架治療組35例,而未放置胰管支架的46例患者作為對照組,術後2組使用相同藥物治療,病情平穩後取齣胰管支架(平均11 d),齣院後隨訪3箇月.結果 2組術前平均年齡、髮病至接受內鏡時間、Glasgow評分及相關生化指標等差異無統計學意義,但胰管支架組術後併髮癥髮生率與對照組差異有統計學意義(5.71%和17.39%,P<0.01).結論 在內鏡治療急性膽源性胰腺炎睏難時使用胰管支架是安全的,能降低患者的併髮癥,為治療急性膽源性胰腺炎的一種過渡性方法,具有一定的臨床應用價值.
목적 탐토이관지가재내경치료곤난적급성담원성이선염중적림상응용개치.방법 선택2005년1월지2009년12월간입원행내경치료급성담원성이선염곤난환자81례,수궤분위이관지가치료조35례,이미방치이관지가적46례환자작위대조조,술후2조사용상동약물치료,병정평은후취출이관지가(평균11 d),출원후수방3개월.결과 2조술전평균년령、발병지접수내경시간、Glasgow평분급상관생화지표등차이무통계학의의,단이관지가조술후병발증발생솔여대조조차이유통계학의의(5.71%화17.39%,P<0.01).결론 재내경치료급성담원성이선염곤난시사용이관지가시안전적,능강저환자적병발증,위치료급성담원성이선염적일충과도성방법,구유일정적림상응용개치.
Objective To evaluate pancreatic duct stenting for acute biliary pancreatitis with difficult endoscopic cannulation. Methods From January 2005 to December 2009, in patients with acute biliary pancreatitis who needed intervention of emergency ERCP, a total of 81 cases were found to be with difficult cannulation and were randomly divided into either treatment group (n = 35 ) to receive pancreatic duct stenting, or control group (n =46) to receive the procedure without pancreatic duct stenting. All patients were treated with same medication, and the pancreatic stents were removed after stabilization at a mean time of 11days after ERCP. All patients were followed up for 3 months after discharging from the hospital. Results There was no significant difference between two groups in regarding of mean age, the time from onset to endoscopy, Glasgow scores and relevant biochemical parameters, but the occurrence of postoperative complications was significantly higher in control group than that of the treatment group ( 17. 39% vs. 5. 71%*, P <0. 01 ). Conclusion Pancreatic duct stenting is a safe and bridging procedure for patients with acute billiary pancreatitis, which can also reduce complications.