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内镜介入治疗在急性胆源性胰腺炎中的应用
引用本文:陈志辉,彭红,陈瑞芬. 内镜介入治疗在急性胆源性胰腺炎中的应用[J]. 临床医学, 2009, 29(5): 3-4
作者姓名:陈志辉  彭红  陈瑞芬
作者单位:广东省韶关市第一人民医院消化科,韶关,512000;广东省韶关市第一人民医院消化科,韶关,512000;广东省韶关市第一人民医院消化科,韶关,512000
摘    要:目的评价早期行内镜逆行胰胆管造影(ERCP)及介入治疗对急性胆源性胰腺炎患者的安全性和临床疗效。方法将96例急性胆源性胰腺炎住院患者分为A、B两组,A组行ERCP检查和治疗,B组行内科保守治疗,分别观察其疗效和并发症,评价急性胆源性胰腺炎患者内镜治疗的安全性和疗效。结果A组患者治愈率98%,无严重并发症发生,未见因ERCP检查和治疗而使病情加重者,其腹痛缓解时间、住院天数、血淀粉酶恢复时间明显短于B组。结论早期内镜介入治疗急性胆源性胰腺炎具有微创、安全、有效、快速解除胆道急性梗阻及防止胆汁胰管反流的特点,可使急性胆源性胰腺炎患者得到快速及时的诊治,防止病情进一步发展。

关 键 词:内镜逆行胰胆管造影  急性胆源性胰腺炎  疗效  安全性

Analysis of endoscopic therapy for cholecystolithiasis complicated with acute biliary pancreatitis
CHEN Zhihui,PENG Hong,CHEN Ruifen. Analysis of endoscopic therapy for cholecystolithiasis complicated with acute biliary pancreatitis[J]. Clinical Medicine, 2009, 29(5): 3-4
Authors:CHEN Zhihui  PENG Hong  CHEN Ruifen
Affiliation:CHEN Zhihui,PENG Hong,CHEN Ruifen.Department of Digestive Medicine,the First People's Hospital of Shaoguan,Shaoguan 512000,China
Abstract:Objective To evaluate the safety and effect of early therapeutic endoscopic retrograde cholangiopancreatography(ERCP) for patients with acute biliary pancreatitis.Methods Ninety-six cases of acute biliary pancreatitis who were divided into A and B groups were treated with early therapeutic ERCP and internal medical therapy differently.The effect,complications and safety were evaluated.Results The symptoms and signs in 98% cases of group A after ERCP disappeared faster than those of group B.There was no ERCP...
Keywords:Endoscopic retrograde cholangiopancreatography  Acute biliary pancreatitis  Effect  Safety
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