内镜治疗急性胆源性胰腺炎的临床价值

目的探讨内镜治疗急性胆源性胰腺炎的疗效。方法对我院1998年7月~2004年10月行ERCP、EST、ENBD等方法治疗急性胆源性胰腺炎43例的临床资料进行回顾性分析。结果本组43例经内镜治疗后疗效均满意。术后发生出血1例、形成胰腺假性囊肿2例、死亡1例。无因病情恶化而中转手术治疗者。结论ERCP对急性胆源性胰腺炎的诊断有重要价值;内镜是治疗急性胆源性胰腺炎安全、有效的方法之一。

Endoscopic diagnosis and therapy for patients with acute gallstone pancreatitis

ObjectiveTo evaluate the curative effectiveness of endoscopy in the diagnosis and treatment of acute gallstone pancreatitis(AGP).MethodsThe clinical data of 43 patients with acute gallstone pancreatitis subject to endoscopic retrograde cholecystectomy(ERCP),endoscopic sphincterotomy(EST),endoscopic naso-billiary drainage(ENBD)were analyzed retrospectively.Of the 43 cases,38 were diagnosed as choledocholith iasis,9 as sphincter of oddi dysfunction,7 as choledocholith iasis and sphincter of oddi dysfunction.ResultsThe curative effectiveness after endoscopy in 43 patients was satisfactory.Postoperative bleeding occurred in one case,pancreatic pseudocyst in 2 cases and one case died.No one case was converted to surgical operation due to disease aggravation.Conclusion(ERCP) can be carried out to diagnose acute gallstone pancreatitis.Endoscopy is one of the safe and effective methods to treat acute gallstone pancreatitis.