| 内镜下逆行胰胆管造影后胰腺炎危险因素的多因素分析 |
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| 引用本文： | 张春,王立新,徐智,侯纯升,凌晓峰,周孝思. 内镜下逆行胰胆管造影后胰腺炎危险因素的多因素分析[J]. 中国内镜杂志, 2010, 16(6) |
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| 作者姓名： | 张春 王立新 徐智 侯纯升 凌晓峰 周孝思 |
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| 作者单位： | 北京大学第三医院普通外科,北京,100191 |
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| 摘 要： | 目的 对住院患者内镜下逆行胰胆管造影后胰腺炎(PEP)进行回顾性研究,分析PEP的危险因素,提出适合实际情况的预防措施.方法 2006年1月～2007年12月,该院住院行内镜下逆行胰胆管造影(ER-CP)305次.以PEP为因变量,以16个患者因素、17个医源因素为自变量进行统计分析,并行Logistic回归多因素分析,找出PEP的独立危险因素.结果 305次患者中,51次发生PEP(16.7%).单因素分析显示,胰管显影与PEP密切相关.结论 胰管显影是PEP的危险因素,术前使用胰酶抑制剂不能降低PEP风险.
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| 关 键 词： | 胰腺炎 内镜下逆行胰胆管造影 危险因素 |
Multivariate analysis of risk factors for post-ERCP pancreatitis |
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| ZHANG Chun , WANG Li-xin , XU Zhi , HOU Chun-sheng , LING Xiao-feng , ZHOU Xiao-si. Multivariate analysis of risk factors for post-ERCP pancreatitis[J]. China Journal of Endoscopy, 2010, 16(6) |
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| Authors: | ZHANG Chun WANG Li-xin XU Zhi HOU Chun-sheng LING Xiao-feng ZHOU Xiao-si |
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| Affiliation: | ZHANG Chun,WANG Li-xin,XU Zhi,HOU Chun-sehng,LING Xiao-feng,ZHOU Xiao-si (Peking University Third Hospital,Beijing,100191,P.R.China) |
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| Abstract: | [Objective]The aim of this study is to analyze the risk factors for post-ERCP pancreatitis in our cases and find measures of prevention. [Methods]Data of consecutive 305 patients, who have undergone ERCP at Peking University Third Hospital from January 2006 to December 2007, were enrolled in the study to analyze the in-hospital morbidity. Dependent variable was in-hospital morbidity, whereas the independent variables included 16 patient-related and 17 procedure-related risk factors. Logistic regression anal... |
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| Keywords: | pancreatitis endoscopic retrograde cholangiopancreatography risk factors |
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