治疗性ERCP对胆胰疾病的运用（附32例报告）

目的：对32例接受治疗性经内镜逆行胰胆管造影（ERCP）患者资料进行回顾性分析，以提高对胆胰疾病治疗水平。方法：患者男23例，女9例，中位年龄56岁。全部患者接受了治疗性CRCP，其中胆道引流16例、经内镜乳头肌切开15例（合并取石10例）、取蛔虫1例。重点讨论对胆道疾病的治疗。结果：全部胆总管结石清除。患者临床情况改善，没有严重并发症。结论：治疗性ERCP对胆胰疾病是有效手段，值得推广应用。

THRAPEUTIC ERCP FOR CHOLANGIO-PANCREATIC DISEASES: REPORT OF 32 CASES

Objective:In order to obtain more effective endoscopic treatment,we analysed 32 cases data of therapeutic ERCP.Methods:Of which 23 were males,9 females with a median age of 56 years.Therapeutic effort was executed in all cases including biliary drainage (n=16),endoscopic sphincterotomy (EST) (n=15,10 of them received extraction)and extract ascaris(n=1).The discussion focus on the treatment of biliary disease.Results:All common bile-duct stone were cleared up.Satisfactory treatment was achieved in almost all with no severe side effect.Conclusions:Therapeutic ERCP is an effective method for cholangiopancreatic diseases.It is of considerable value and should be promoted in clinical application.