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目的探讨内镜治疗胆源性胰腺炎的疗效。方法将我院2001年1月至2012年6月期间收治的420例胆源性胰腺炎患者,回顾分析:ERCP治疗组(218例)及保守治疗组(202例),分别观察两组腹痛缓解时间,血尿淀粉酶恢复时间,肝功能恢复时间,血白细胞恢复时间,平均住院天数,平均费用并观察其并发症发生情况。结果 ERCP组均成功施行EST,ENBD术。ERCP治疗组平均腹痛时间明显低于对照组,ERCP组重症病死率明显降低。结论通过内镜介入治疗胆源性胰腺炎,不仅能明确病因,而且能缩短住院时间,降低患者疼痛时间,减轻痛苦,并能减少住院经费,减少基础护理工作量,因此重视术后的护理能减少并发症的发生。
Objective To investigate the efficacy of endoscopic treatment of biliary pancreatitis. Methods A total of 420 patients with gallstone pancreatitis treated in our hospital from January 2001 to June 2012 were retrospectively analyzed: ERCP treatment group (218 cases) and conservative treatment group (202 cases) Time, hematuria, amylase recovery time, liver function recovery time, white blood cell recovery time, the average length of stay, the average cost and observe the occurrence of complications. Results All patients in ERCP group underwent EST and ENBD successfully. ERCP treatment group average abdominal pain time was significantly lower than the control group, ERCP severe mortality was significantly reduced. Conclusion Endoscopic treatment of biliary pancreatitis can not only clarify the cause, but also shorten the length of hospital stay, reduce the patient’s pain time, reduce pain, and reduce hospitalization costs, reduce the workload of basic nursing, so emphasis on postoperative care Reduce the incidence of complications.