CAJ | 학술논문

目的：探讨腹腔镜、胆道镜、十二指肠镜联合治疗急性胆源性胰腺炎的微创治疗方法及疗效。方法：51例急性胆源性胰腺炎患者均在入院后24小时内行十二指肠镜检查，并予行经内镜鼻胆管引流术(ENBD)。结果：内镜联合手术成功47例，占92.2％；中转开腹4例。术后6个月以上的随访，均健康生活和正常工作，无结石复发。结论：腹腔镜、胆道镜、十二指肠镜联合微创治疗胆源性胰腺炎疗效明确，是完全可靠的方法。
목적：탐토복강경、담도경、십이지장경연합치료급성담원성이선염적미창치료방법급료효。방법：51례급성담원성이선염환자균재입원후24소시내행십이지장경검사，병여행경내경비담관인류술(ENBD)。결과：내경연합수술성공47례，점92.2％；중전개복4례。술후6개월이상적수방，균건강생활화정상공작，무결석복발。결론：복강경、담도경、십이지장경연합미창치료담원성이선염료효명학，시완전가고적방법。
Objective: To investigate the effect of minimally invasive treatment method and laparoscopy, choledochoscopy, duodenoscopy in the treatment of acute biliary pancreatitis.Methods:51 cases of patients with acute biliary pancreatitis were admitted to hospital within 24 hours after duodenoscopy, and treated by the endoscopic nasobiliary drainage (ENBD).Results:47 cases were successful, combined with endoscopic operation accounted for 92.2%; 4 cases were converted to open operation. Followed up for more than 6 months after operation, all the healthy life and work, no stone recurrence.Conclusion:Laparoscopy and Choledochoscopy, duodenoscopy combined with minimally invasive treatment of acute biliary pancreatitis is clear,is completely reliable method.