中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
33期
53-54
,共2页
急性胆源性胰腺炎%内镜逆行胰胆管造影术%鼻胆管引流术
急性膽源性胰腺炎%內鏡逆行胰膽管造影術%鼻膽管引流術
급성담원성이선염%내경역행이담관조영술%비담관인류술
Acute biliary pancreatitis%Endoscopic retrograde cholangiopancreatography%Nasobiliary drainage
目的：探讨内镜逆行胰胆管造影术( ERCP)在急性胆源性胰腺炎(ABP)患者诊断与治疗中的应用价值。方法收集84例ABP患者的临床资料，分为观察组与对照组，各42例，观察组给予 ERCP诊断，并于内镜下乳头括约肌切开术(EST )或(和)内镜下鼻胆管引流术(ENBD)治疗，对照组给予常规治疗。结果观察组患者均成功行ERCP 检查，其中胆总管结石36例，十二指肠乳头处结石嵌顿6例。观察组的腹痛缓解时间、肠道恢复通气时间、血淀粉酶恢复正常时间及住院时间均显著短于对照组，差异有统计学意义(P＜0.05)；两组患者无出现死亡病例，观察组治疗的总有效率为95.24%，显著高于对照组的76.19%，差异有统计学意义(P＜0.05)。结论对ABP患者行ERCP检查与治疗的成功率较高，能有效促进患者病情的恢复，疗效显著，值得推广。
目的：探討內鏡逆行胰膽管造影術( ERCP)在急性膽源性胰腺炎(ABP)患者診斷與治療中的應用價值。方法收集84例ABP患者的臨床資料，分為觀察組與對照組，各42例，觀察組給予 ERCP診斷，併于內鏡下乳頭括約肌切開術(EST )或(和)內鏡下鼻膽管引流術(ENBD)治療，對照組給予常規治療。結果觀察組患者均成功行ERCP 檢查，其中膽總管結石36例，十二指腸乳頭處結石嵌頓6例。觀察組的腹痛緩解時間、腸道恢複通氣時間、血澱粉酶恢複正常時間及住院時間均顯著短于對照組，差異有統計學意義(P＜0.05)；兩組患者無齣現死亡病例，觀察組治療的總有效率為95.24%，顯著高于對照組的76.19%，差異有統計學意義(P＜0.05)。結論對ABP患者行ERCP檢查與治療的成功率較高，能有效促進患者病情的恢複，療效顯著，值得推廣。
목적：탐토내경역행이담관조영술( ERCP)재급성담원성이선염(ABP)환자진단여치료중적응용개치。방법수집84례ABP환자적림상자료，분위관찰조여대조조，각42례，관찰조급여 ERCP진단，병우내경하유두괄약기절개술(EST )혹(화)내경하비담관인류술(ENBD)치료，대조조급여상규치료。결과관찰조환자균성공행ERCP 검사，기중담총관결석36례，십이지장유두처결석감돈6례。관찰조적복통완해시간、장도회복통기시간、혈정분매회복정상시간급주원시간균현저단우대조조，차이유통계학의의(P＜0.05)；량조환자무출현사망병례，관찰조치료적총유효솔위95.24%，현저고우대조조적76.19%，차이유통계학의의(P＜0.05)。결론대ABP환자행ERCP검사여치료적성공솔교고，능유효촉진환자병정적회복，료효현저，치득추엄。
Objective To study the value of endoscopic retrograde cholangiopancreatography (ERCP) applied to the diagnosis and treatment of acute biliary pancreatitis (ABP). Methods The clinical data of 84 cases with ABP were selected. The patients were di-vided into the observation group and the control group with 42 cases in each. Patients in the observation group were diagnosed by ERCP, and treated by endoscopic sphincteropapillotomy (EST) or (and) endoscopic nasobiliary drainage (ENBD), while patients in the control group were treated by the conventional treatment. Results All the patients in the observation group underwent the ER-CP examination successfully. Of them, 36 cases had common bile duct calculi, and 6 cases had duodenal papilla calculus incar-cerated. The abdominal pain relief time, the time for intestinal tract recovering ventilation, blood amylase returning to normal time and length of stay of the observation group were much shorter than those of the control group with statistically significance ( P<0.05). No death occurred in both groups. The total effective rate of the observation group was 95.24%, significantly higher than the control group's 76.19%with statistical significance (P<0.05). Conclusion The success rate of ERCP examination and treatment is high in patients with ABP, which can effectively promote the recovery of patients, the curative effect is distinct, so it is worthy of promotion.
