选择性插管对ERCP术后胰腺炎的预防作用

目的 探讨选择性插管对ERCP术后胰腺炎的预防作用.方法 将因胆系疾病在我院行ERCP检查并治疗的198例患者随机均分为常规插管造影组和导丝超选组,监测两组患者ERCP术后胰腺炎（PEP）发生率、插管成功率和血清淀粉酶波动等情况.结果 两组比较ERCP操作中插管成功率（差异无统计学意义（P＞0.05）.导丝组的ERCP术后胰腺炎发生率为4.01％,常规组为13.1％,差异有统计学意义（P＜0.05）.常规组出现4例重症ERCP术后胰腺炎,导丝组出现3例重症ERCP术后胰腺炎.结论 选择性插管不能明显提高插管成功率,却可以有效降低ERCP术后胰腺炎发生率.

THE EFFECT OF SELECTIVE CATHETERIZATION ON THE PREVENTION OF POST-ERCP PANCREATITIS

Objective To investigate the effect of selective catheterization on the prevention of post-ER- CP pancreatitis. Methods 198 patients with biliary diseases having received ERCP examination and treatment were randomly selected and divided into the conventional catheterization angiography group and the selective catheterization group. The incidence of post-ERCP pancreatitis, the success rate of catheterization and the fluctuations in serum amylase in both groups were monitored. Results No significant difference in the success rate of catheterization between the two groups were found（ P ~0.05）. The incidence of post- ERCP pancreatitis was 4.01% in the selective catheterization group and 13.1~ in the conventional group（ P d0.05. 4 severe case of post-ERCP pancreatitis were found in the conventional group and 3 in the selective catheterization group. Conclusion Although selective catheterization can not significantly improve the success rate of catheterization but can effectively reduce the incidence of post-ERCP pancreatitis .