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目的探究内镜下胰胆管造影术(ERCP)对急性胆源性胰腺炎(ABP)的治疗效果。方法选择ABP患者78例,按治疗方法不同分为ERCP组和对照组,其中ERCP组45例患者进行了ERCP手术,对照组33例患者进行了传统开腹手术。对两组患者治疗前后的各相关临床指标以及肠道恢复、症状缓解和住院时间进行比较观察。结果 ERCP组患者的肠道恢复、症状缓解以及住院时间均明显短于对照组(P<0.05);手术后两组患者的各项临床指标均较手术前有明显改善,ERCP组患者的改善程度显著大于对照组(P<0.05)。ERCP组的并发症发生率明显低于对照组(P<0.05)。结论采用ERCP对急性胆源性胰腺炎进行治疗可以获得显著治疗效果,是一种较为理想的手术方法。
Objective To investigate the therapeutic effect of endoscopic cholangiopancreatography (ERCP) on acute biliary pancreatitis (ABP). Methods 78 patients with ABP were selected and divided into ERCP group and control group according to different treatment methods. Among them, 45 patients in ERCP group underwent ERCP operation and 33 patients in control group received conventional laparotomy. Before and after treatment on the two groups of relevant clinical indicators and intestinal recovery, symptom relief and hospital stay were compared. Results The intestinal recovery, symptom relief and hospital stay in ERCP group were significantly shorter than those in control group (P <0.05). The clinical indexes in both groups were significantly improved compared with that before operation, and the improvement in ERCP group Significantly higher than the control group (P <0.05). The incidence of complications in ERCP group was significantly lower than that in control group (P <0.05). Conclusion The treatment of acute gallstone pancreatitis by ERCP can achieve significant therapeutic effect, which is an ideal surgical method.