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内镜下双括约肌切开治疗急性胆源性胰腺炎
引用本文:许昌芹,路英菊,许洪伟. 内镜下双括约肌切开治疗急性胆源性胰腺炎[J]. 中国现代普通外科进展, 2011, 14(4): 306-309,317. DOI: 10.3969/j.issn.1009-9905.2011.04.018
作者姓名:许昌芹  路英菊  许洪伟
作者单位:山东大学附属省立医院,消化内科,山东,济南,250021
摘    要:目的:探讨早期内镜下括约肌切开术(EST)联合内镜下胰管支架置入(ERPD)治疗急性胆源性胰腺炎(ABP)的疗效。方法:前瞻性研究,选取2009年1月至今于我院就诊的44例急性胆源性胰腺炎患者,对其行早期内镜下逆行性胰胆管造影(ERCP)、EST及必要的ERPD,评价疗效,并定期随访观察其长期疗效。结果:早期EST联合ERPD治疗急性胆源性胰腺炎尤其是重症胰腺炎,能有效的缓解腹痛、降低淀粉酶、促进胰腺恢复,降低复发率。结论:急性胆源性胰腺炎采用早期EST联合ERPD治疗是安全有效的,且有较好的长期疗效。

关 键 词:急性胰腺炎  胆石症  内镜下括约肌切开术

Treatment to acute biliary pancreatitis with early endoscopic sphincterotomy
XU Chang-qin,LU Ying-ju,XU Hong-wei. Treatment to acute biliary pancreatitis with early endoscopic sphincterotomy[J]. Chinese Journal of Current Advances in General Surgery, 2011, 14(4): 306-309,317. DOI: 10.3969/j.issn.1009-9905.2011.04.018
Authors:XU Chang-qin  LU Ying-ju  XU Hong-wei
Affiliation:XU Chang-qin,LU Ying-ju,XU Hong-wei Department of Gastroenterology,Provincial Hospital Affiliated to Shandong University(Jinan 250021,China)
Abstract:Objective: To investigate the effect of the early endoscopic sphincterotomy(EST) and pancreatic duct stents(ERPD) in the treatment of acute biliary pancreatitis.Methods: Forty-four patients with acute biliary pancreatitis underwent endoscopic retrograde cholangiopancreatography,the early EST and ERPD were analysed.These patients were followed up every month and evaluated the long-term effect of the the early EST and ERPD in the treatment of acute biliary pancreatitis.Results: ERCP therapy effectively remiss...
Keywords:Acute biliary pancreatitis·Cholelith disease·Endoscopic sphincterotomy
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