CAJ | 학술논문

目的：探讨治疗性经内镜逆行胰胆管造影（ERCP）在慢性胰腺炎（CP）治疗中的价值。方法对2008年1月－2012年12月间在南京医科大学附属苏州市立医院应用 ERCP 治疗的30例 CP 患者进行回顾性分析。观察术前及术后24h 血淀粉酶变化，动态观察患者治疗前后腹痛缓解情况，随访脂肪泻、焦虑患者病情，定期复查腹部影像学或 ERCP 明确胰腺病变及胰管支架情况。结果所有患者均顺利完成 ERCP 并放置胰管支架，术后72 h 腹痛缓解率83．3％，1例因症状改善不明显至外科手术，术后病死率为0。结论ERCP 是治疗 CP 的有效手段，具有安全、有效、创伤小等优点。
목적：탐토치료성경내경역행이담관조영（ERCP）재만성이선염（CP）치료중적개치。방법대2008년1월－2012년12월간재남경의과대학부속소주시립의원응용 ERCP 치료적30례 CP 환자진행회고성분석。관찰술전급술후24h 혈정분매변화，동태관찰환자치료전후복통완해정황，수방지방사、초필환자병정，정기복사복부영상학혹 ERCP 명학이선병변급이관지가정황。결과소유환자균순리완성 ERCP 병방치이관지가，술후72 h 복통완해솔83．3％，1례인증상개선불명현지외과수술，술후병사솔위0。결론ERCP 시치료 CP 적유효수단，구유안전、유효、창상소등우점。
Objective To explore the value of endoscopic retrograde cholangiopancreatography (ERCP)in the treatment of chronic pancre-atitis (CP).Methods Thirty patients with CP who underwent ERCP from January 2008 to December 2012 were retrospectively analyzed. Serum amylase levels were determined before and at 24 hours after surgery.The reduction in abdominal pain was dynamically evaluated be-fore and after treatment.A follow -up of patients with steatorrhea and anxiety was performed.Regular reexamination using abdominal ima-ging or ERCP was performed to identify pancreatic lesions and conditions of pancreatic duct stents.Results All patients were successfully treated by ERCP and had pancreatic duct stents placed.The remission rate of abdominal pain reached 83.3% at 72 hours after surgery.One patient was assigned to surgery due to insignificant improvement in symptoms,and the case -fatality rate after surgery was 0.Conclusion ERCP is an effective method in the treatment of CP,which has the advantages of being safe,effective,and minimally invasive.