75例逆行性胰胆管造影术后相关并发症分析

目的探讨经内镜逆行胰胆管造影(ERCP)并发症的防治措施。方法对2008年5月至2011年8月施行的75例ERCP患者的临床资料进行回顾性分析。结果 75例ERCP成功率为89.3%(67/75),出现并发症22例(29.3%),ERCP术后胰腺炎(PEP)6例(8.0%),一过性高淀粉酶血症13例(17.3%),胆道感染3例(4.0%),无胆道出血及胆道穿孔病例。未出现与ERCP术相关的死亡病例。发生并发症的患者经保守治疗好转。结论诊治性ERCP并发症大多经保守治疗能够治愈,且高淀粉酶血症/PEP主要与胰管显影、插管困难、ERCP操作时间过长等有关。

Analysis of complications of therapeutic endoscopic retrograde cholangiopancreatography in 75 cases

Objective To investigate the complications of endoscopic retrograde cholangiopancreatography(ERCP) and its related prevention and control measures.Methods The clinical data of 75 cases of therapeutic ERCP performed in our center from May 2008 to August 2011 were analyzed retrospectively.Results Among 75 cases of ERCP,22 cases(29.3%) were accompanied with complications,including 6 cases(8.0%) of post-endoscopic retrograde cholangiopancreatography pancreatitis(PEP),13 cases(17.3%) of transient hyperamylasemia and 3 cases(4.0%) of acute cholangitis without cases of alimentary tract hemorrhage and duodenum perforation;no death and severe complications occurred because of ERCP.All 22 cases of complications were cured by the conservative treatment.Conclusion Hyperamylasemia and PEP are mainly related with developing of pancreatic duct,difficult intubation and too long aperating time of ERCP.The majority of complications can be cured by conservative treatments.