气管插管全身麻醉下急诊内镜治疗急性胆源性胰腺炎的评价

目的探讨气管插管全身麻醉下急诊内镜治疗急性胆源性胰腺炎的疗效。方法 36例患者分成两组治疗,内镜组20例,行内镜下鼻胆管引流（endoscope nasobiliary drainage,ENBD）和内镜下乳头括约肌切开术（endoscopic sphincteroto-my,EST）;对照组16例,行保守或急诊外科手术治疗。结果内镜组治疗成功率95.00%,术后清醒、腹痛缓解及住院时间明显少于对照组（P〈0.01）。结论气管插管全麻下经内镜鼻胆管引流急诊治疗急性胆源性胰腺炎,能迅速解除梗阻,通畅引流,有效缩短病程,该法微创、安全,麻醉后复苏快。

Evaluation of endoscopic nasobiliary drainage in bronchial cannula under general anesthesia for acute biliary pancreatitis

Objective To evaluate the therapeutic effect of endoscopic nasobiliary drainage in bronchial cannula under general anesthesia for acute biliary pancreatitis.Methods 36 cases were divided into two groups：endoscope group（n = 20）was treated with endoscope nasobiliary drainage（ENBD）and endoscopic sphincterotomy（EST）;control group（n = 16）undertook conservative or emergency surgical treatment.Results The cure rate of endoscop group whose postoperative consciousness,abdominal pain release and postoperative hospitalization time were significantly lower than those of control group was 95.00%（P 0.01）.Conclusion Emergent endoscopic nasobiliary drainage with bronchial cannula under general anesthesia to treat patients with acute biliary pancreatitis can rapidly remove obstruction,remove drainage,and effectively shorten the course of illness.It also has advantages of minimal invasion,safety and quick recovery after anesthesia.