论文部分内容阅读
目的总结内镜治疗急性胆源性胰腺炎的疗效和临床价值。方法急性胆源性胰腺炎160例,其中内镜治疗(内镜组)80例,24 h内行逆行胰胆管造影术、内镜下乳头括约肌切开取石术(EST)及鼻胆管引流术(ENBD);保守或外科治疗(对照组)80例。结果保守治疗组和内镜介入治疗组腹痛缓解时间、住院时间、并发症、血清淀粉酶恢复时间、平均住院天数、平均费用之间比较差异均有统计学意义(P<0.05)。结论内镜治疗解除胆胰管开口的梗阻,是一种治疗急性胆源性胰腺炎的安全、有效的方法。
Objective To summarize the curative effect and clinical value of endoscopic treatment of acute gallstone pancreatitis. Methods Acute biliary pancreatitis (160 cases) was treated with endoscopic treatment (endoscopy) in 80 cases, retrograde cholangiopancreatography (24 cases), endoscopic sphincterotomy (EST) and nasobiliary drainage (ENBD ); Conservative or surgical treatment (control group) 80 cases. Results There was significant difference between the conservative treatment group and the endoscopic intervention group in the pain relief time, hospitalization time, complications, serum amylase recovery time, average hospitalization days and average cost (P <0.05). Conclusion Endoscopic treatment of obstruction of the opening of the bile duct and pancreatic duct is a safe and effective method for the treatment of acute gallstone pancreatitis.