重症急性胆源性胰腺炎内镜治疗时机探讨

目的探讨内镜治疗重症急性胆源性胰腺炎的时机。方法选择上海市第一人民医院1995年4月至2005年5月59例经内镜治疗的重症急性胆源性胰腺炎病例,分为早期治疗组(A组,<48h)31例,延迟治疗组(B组,>48h)28例。分别比较两组病例腹痛缓解时间、血淀粉酶恢复正常时间、平均住院天数及并发症发生情况。结果A组病例腹痛缓解时间、血淀粉酶恢复正常时间及平均住院天数均短于B组(P<0.05)。A组发生并发症5例,B组为9例。结论重症急性胆源性胰腺炎应尽早行内镜治疗。

The timing of endoscopic therapy of severe acute biliary pancreatitis

Objective To investigate the timing of endoscopic therapy of severe acute biliary pancreatitis (SABP).Methods 59 patients with severe acute biliary pancreatitis were divided into two groups,31 patients in A group underwent early endoscopic therapy (with in 48 hours),28 patients in B group underwent endoscopic therapy (over 48 hours).The abdominal pain and Serum amylase level and mean days of hospitalization and complications were observed in all patients of two groups.Results The days of the disappearance of abdominal pain and decrease of serum amylase level.and the hospitalization were significantly shorter in A group than in B group.The complications were 5 in A group and 9 in B group.Conclusion It is more effective that the patients with severe acute biliary pancreatitis undergo early endoscopic therapy.