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目的:探讨高龄患者逆行胰胆管造影(ERCP)及十二指肠乳头切开取石术(EST)预防继发性胰腺炎。方法:对照组(外引流管法)50例,实验组(金属支架法)50例。结果:对照组ERCP联合EST术后并发急性胰腺炎占12%。实验组未并发急性胰腺炎。两组比较P<0.01有统计学差异。结论:急性胰腺炎是ERCP及EST术后常见并发症,保证引流管通畅,可防止急性胰腺炎的发生,有实用价值。
Objective: To investigate the prevention of secondary pancreatitis by retrograde cholangiopancreatography (ERCP) and duodenal papillary laparotomy (EST) in elderly patients. Methods: 50 cases of control group (external drainage tube method) and 50 cases of experimental group (metal stent method). Results: The control group of ERCP combined with EST postoperative acute pancreatitis accounted for 12%. Experimental group was not complicated by acute pancreatitis. There was significant difference between two groups (P <0.01). Conclusion: Acute pancreatitis is a common complication of postoperative ERCP and EST to ensure that the drainage tube is smooth and prevent the occurrence of acute pancreatitis, which is of practical value.