CAJ | 학술논문

目的探讨预防性胰管支架在减少插管困难的胆道型Oddi括约肌狭窄术后胰腺炎的临床价值及有效性.方法回顾63例胆道型Oddi括约肌狭窄且插管困难的患者资料,以2009年1月至2010年1月的33例为对照组(仅行单纯内镜治疗而未放置预防性胰管支架),2010年2月至2011年2月的30例为支架组(行内镜治疗的同时成功置入了预防性胰管支架).比较2组术后胰腺炎的发生率.结果支架组(0/30,0)与对照组(8/33,24.2％)相比,术后胰腺炎发生率差异有统计学意义(P＜0.05).结论对于明确诊断的胆道型Oddi括约肌狭窄且插管困难的患者而言,预防性胰管支架的置入是安全有效的.
목적 탐토예방성이관지가재감소삽관곤난적담도형Oddi괄약기협착술후이선염적림상개치급유효성.방법 회고63례담도형Oddi괄약기협착차삽관곤난적환자자료,이2009년1월지2010년1월적33례위대조조(부행단순내경치료이미방치예방성이관지가),2010년2월지2011년2월적30례위지가조(행내경치료적동시성공치입료예방성이관지가).비교2조술후이선염적발생솔.결과 지가조(0/30,0)여대조조(8/33,24.2％)상비,술후이선염발생솔차이유통계학의의(P＜0.05).결론 대우명학진단적담도형Oddi괄약기협착차삽관곤난적환자이언,예방성이관지가적치입시안전유효적.
Objective To evaluate the clinical value and efficacy of prophylactic pancreatic duct stenting for biliary-type stenosis of Oddi sphincter with difficulty cannulation.Methods The present study was a retrospective study of 63 patients with biliary-type stenosis of Oddi sphincter and difficult cannulation.The stent group consisted 30 patients who underwent prophylactic pancreatic duct stenting from February 2010 to February 2011 and the control group included 33 patients who underwent only ERCP without prophylactic pancreatic duct stenting from January 2009 to January 2010.The incidence of postoperative pancreatitis were compared between the two groups.Results The incidence of postoperative pancreatitis of the control group was significantly higher than that of the stent group (P ＜ 0.05).Conclusion For patients with definite diagnosis of biliary-type stenosis of Oddi sphincter and difficult cannulation,prophylactic pancreatic duct stent placement is safe and effective.