ERCP治疗急性胆源性胰腺炎的临床疗效观察

目的：观察内镜胰胆管造影（ERCP）治疗急性胆源性胰腺炎（ABP）的临床效果。方法：资料随机选自2013年2月-2014年2月本院诊治的ABP患者126例,按照数字表法随机分成两组,63例对照组患者予传统开腹手术,63例研究组患者予ERCP治疗,比较两组患者的临床症状改善与疗效性指标情况。结果：研究组患者的AMS、肝功能恢复正常时间、腹痛缓解时间与住院时间均比对照组短,APACHEⅡ评分、TNF-α与CRP水平均比对照组低,对照组治疗后的CRP水平比治疗前高,有统计学意义（P〈0.05）。结论：ERCP治疗急性胆源性胰腺炎,可缩短血生化指标恢复正常与住院时间,抑制炎症反应,降低病情程度,值得在临床上推广与应用。

Clinical efficacy of ERCP treatment of acute gallstone pancreatitis

Objective： To Observe endoscopic cholangiopancreatography （ERCP） treatment of acute biliary pancreatitis （ABP） clinical results. Method： Data were randomly selected from February 2013 -2014 February ABP patient hospital treatment of 126 cases, according to the number table, were randomly divided into two groups, 63 cases in the control group of patients to traditional open surgery, 63 cases of the study group of patients to treatment ERCP clinical symptoms of patients were compared with the effect of improving indicators. Results： Study group of patients with AMS, liver function returned to normal, abdominal pain and hospitalization time shorter than the control group, APACHE Ⅱ score, low TNF-a and CRP levels than the control group, CRP levels in the control group after treatment than before treatment there was statistically significant（P 〈 0.05）. Conclusion： ERCP treatment of acute gallstone pancreatitis can shorten the normal blood biochemistry and hospitalization time, inhibit inflammation, reduce