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急性胆源性胰腺炎内镜治疗作用的探讨
引用本文:王建承 吴卫泽. 急性胆源性胰腺炎内镜治疗作用的探讨[J]. 外科理论与实践, 1999, 4(4): 224-226
作者姓名:王建承 吴卫泽
作者单位:上海第二医科大学附属瑞金医院外科 200025(王建承,吴卫泽,陈胜,费健,叶忻),上海第二医科大学附属瑞金医院外科 200025(张圣道)
摘    要:目的:探讨内镜对急性胆源性胰腺炎的诊治作用。方法:收集1997年经内镜诊治的急性胆源性胰腺炎患者20例,并以同时期作保守治疗或手术治疗的15例患者作对照。结果:ERCP操作成功率为85%,对胆源性胰腺炎的诊断准确率为100%,呵同时采用Oddi括约肌切开、取石和/或置鼻胆管引流。治疗成功率为100%。内镜治疗减少了胰腺炎并发症发生率和患者住院天数,降低医疗费用。结论:内镜是胆源性胰腺炎的最佳诊治手段。

关 键 词:内镜下逆行胰胆管造影  内镜下括约肌切口术  内镜下鼻胆管引流  急性胆源性胰腺炎

The Value of Endoscopy in the Treatment of Acute Gallstone Pancreatitis.
Wang Jiancheng,Wu Weize,Chen Sheng,et al.. The Value of Endoscopy in the Treatment of Acute Gallstone Pancreatitis.[J]. Journal of Surgery Concepts & Practice, 1999, 4(4): 224-226
Authors:Wang Jiancheng  Wu Weize  Chen Sheng  et al.
Abstract:Objective: To evaluate the value of endoscopy in the diagnosis and treatment of acute gallstone pancreatitis(AGP). Methods: Twenty patients with AGP who underwent endoscopic treatment in 1997 were studied, another 15 patients undergoing other forms of treatment served as controls. Re-sults: The success rate of endoscopy for diagnosis was 85%(17/20); the rate of success of endoscopic sphincterotomy(EST) and/or endoscopic nasobiliary drainage(ENBD) was 100% (17/17). The incidence of complications following endoscopy was decreased as compared to the controls, so was the decline of days of hospital stay and medical expense. Conclusions: Endoscopy is the best mode of treatment for AGP.
Keywords:Endoscopic retrograde cholangiopancreatography(ERCP) Endoscopic sphinctero-tomy(EST) Endoscopic nasobiliary drainage(ENBD) Acute gallstone pancrea-titis(AGP)
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