| 十二指肠镜联合腹腔镜治疗急性胆源性胰腺炎的临床价值 |
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| 引用本文： | 谢凯祥,涂湘炎,汤俊,贺宜伟,黄飞舟,.十二指肠镜联合腹腔镜治疗急性胆源性胰腺炎的临床价值[J].中国医学工程,2008,16(2):126-128. |
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| 作者姓名： | 谢凯祥 涂湘炎 汤俊 贺宜伟 黄飞舟 |
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| 作者单位： | 1. 湖南省湘潭市第一人民医院,肝胆外科,湖南,湘潭,411101
2. 中南大学湘雅三医院,普外科,湖南,长沙,410013 |
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| 摘 要： | 目的探讨十二指肠镜联合腹腔镜治疗急性胆源性胰腺炎（ABP）的治疗方法和临床效果。方法我院于2000年2月～2007年10月前后以两种不同的方式治疗ABP84例，前期35例（对照组）予保守和／或开腹手术治疗，后期49例（治疗组）行ERCP、ENBD、EST和腹腔镜手术，比较两者的疗效。结果全组病例均治愈。治疗组21例无胆道梗阻的ABP保守治疗1周行LC，28例有胆道梗阻的ABP急诊行ERCP、ENBD或EST，3周后再行腹腔镜手术。治疗组与对照组比较，体温、生化指标、血淀粉酶等恢复时间及住院时间短，住院费用低（P〈0．05）。结论十二指肠镜和腹腔镜的联合应用是治疗ABP安全有效的方法。
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| 关 键 词： | 急性胆源性胰腺炎 十二指肠镜 腹腔镜 |
Clinical value of duodenoscopy combined with laparoscopy in treating acute biliary pancreatitis |
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| Institution: | XIE Kai-xiang, TU Xiang-yan, TANG Jun, HE Yi-wei, HUANG Fei-zhou (1.Department of Hepatobiliary Surgery, the First People＇s Hospital of Xiangtan City, Xiangtan, Hunan 411101, P.R.China; 2.Department of General Surgery, the Third Xiangya Hospital, Central South University, Changsha, Hunan 410013, P.R.China) |
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| Abstract: | Objective] To explore the therapeutics and clinical curative effects of duodenoscopy combined with laparoscopy in treating acute biliary pancreatitis (ABP). Methods] From February 2000 to October 2007, 84 ABP patients in our hospital were divided into two groups according to different therapeutics in the prophase and later period: 35 cases in control group received conservative therapy and/or open surgery in the early days; 49 cases in experimental group received duodenoscopy such as ERCP, ENBD, EST and l... |
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| Keywords: | acute biliary pancreatitis duodenoscopy laparoscopy |
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