经内镜逆行胰胆管造影术诊治儿童胰胆管疾病安全性及其疗效的初步评价

目的初步评估经内镜逆行胰胆管造影术（ERCP）在儿童胰胆管疾病诊治中的安全性及其疗效。方法回顾总结2004年11月至2010年5月间9例接受ERCP诊治且年龄小于14岁的患儿的临床资料，对治疗方法、成功率及操作相关并发症情况进行统计分析。结果9例患儿共进行了17例次ERCP操作，均在全身麻醉下进行，其中包括16例次治疗性ERCP和1例次诊断性ERCP，ERCP操作成功率为94．1％（16／17），操作相关并发症的发生率为11．8％（2／17），包括1例轻度胰腺炎和1例胰周感染病例。结论ERCP是儿童胰胆管疾病诊治的重要方法之一，具有较高的安全性且疗效满意。

Safety and efficacy of endoscopic retrograde cholangiopancreatography for children with pancreaticobiliary diseases

Objective To assess the safety and efficacy of endoscopic retrograde cholangiopancreatography (ERCP) for pancreaticobiliary diseases in children. Methods Data of 9 patients younger than 14 years who underwent ERCP at between November 2004 and May 2010 were indentified through a computer database search. Therapeutic methods, success rate and procedure-related complications were evaluated.Results A total of 9 patients underwent 17 ERCP procedures under anesthesia, including 16 therapeutic and 1 diagnostic procedure. The success rate was 94. 1% (16/17) and the complication rate was 11.8%(2/17), including 1 mild pancreatitis and 1 peri-pancreatic infection. Conclusion ERCP is an important tool with high safety and efficacy for diagnosis and treatment of pancreaticobiliary diseases in children.