内镜治疗急性胆源性胰腺炎36例疗效分析

目的探讨急性胆源性胰腺炎早期行内镜治疗的临床疗效。方法64急性胆源性胰腺炎患者随机分成保守治疗组（28例）和内镜治疗组（36例），观察两组的临床疗效并对相关指标进行对比分析。结果保守治疗组28例患者中有7例有并发症，其中有4例行急诊手术；2例（7，14％）死亡。内镜治疗组5例发生并发症，无中转手术治疗病例，无死亡病例。内镜治疗组的腹痛缓解天数、体温正常时间、白细胞正常时间、淀粉酶正常时间及平均住院天数和平均住院费用等明显少于保守治疗组（P〈0．05）。结论早期内镜治疗急性胆源性胰腺炎安全、疗效好，能缩短病程，减少并发症，降低死亡率，并且具有明显缩短住院时间和降低住院费用的社会效益，值得临床推广。

Analysis of therapeutic effects of 36 patients with acute biliary pancreatitis treated by endoscopic sphincterotomy

Objective To explore the clinical therapeutic effects of the treatment of acute biliary panereatitis by endoscopic sphincterotomy. Methods Sixty - four patients with acute biliary pancreatitis were divided into conventional treatment group （ n = 28 ） and therapeutic endoscopy group （ n = 36 ）, and the clinical therapeutic effects were observed and the data were treated with statistics, Results Of the 28 patients in conventional treatment group, 2 patients died, complication occurred in 7 patients, and 4 of them were transferred for emergency operation. Complication occurred in 5 patients in therapeutic endoscopy group, but no patient was transferred for emergency operations or died. The days recovered from abdominal pain and abnormal temperature, white blood cells, and amylase levels as well as average hospital stay of the patients in therapeutic endoscopy group were significantly shorter than those of conventional treatment group （ P 〈 0.05 ）. The cost of hospitalization, complication rate and death rate of patients in therapeutic endoscopy group were significantly lower than those in conventional treatment group （ P 〈0.05 ）. Conclusion Early endoscopic sphincterotomy for the treatment of acute biliary pancreatitis are safe and effective with the advantages of significantly reduced complication rate and death rate, shorter hospital stay and reduced hospitalization cost.