急性胆源性胰腺炎急诊内镜治疗

目的探讨急性胆源性胰腺炎的急诊内镜治疗的疗效和安全性。方法回顾性分析本院1998年4月至2006年6月间41例急性胆源性胰腺炎患者接受急诊内镜治疗结果。结果于入院72h内41例均接受了EST、胆总管取石治疗,20例同时接受了ENBD治疗,其中38例得到治愈,1例因治疗后并发胰腺脓肿接受开腹手术,1例治疗未成功转外科手术,1例出现呼吸衰竭死亡。结论早期内镜治疗急性胆源性胰腺炎疗效显著,无明显内镜操作相关的并发症,值得临床推广应用。

Evaluations of efficacy and safty of endoscopic management for acute biliary pancreatitis

Objective To study the efficacy and safty of urgent endoscopic management for acute biliary pancreatitis due to common bile duct （CBD） stones . Methods A retospectivee study was made to 41 patients with acute biliary pancreatitis who underwent urgent ERCP and EST, ENBD. Results All the 41 patients had ERCP and EST, 20 had ENBD at the same time , of them, 3 8 patients were cured . One had laparotomy later for a complication of pancreatic abscess, one was transferred to surgery department for surgery due to failure of treatment , one died of respiratory failure. Conclusions Compared with surgery, endoscopic management at the early stage is a safe , simple and effective treatment for acute biliary pancreatitis due to CBD stones without complications related to endoscopic techniques . It offers an important alternative in the treatment of acute biliary pancreatitis.