论文部分内容阅读
通过应用内镜对１３６例急性胆石性胰腺炎（ＡＧＰ）的观察及治疗，并结合文献对ＡＧＰ的发病原因、内镜治疗方法及时机进行了分析和探讨。结果显示：胆总管最下端结石堵塞或排石损伤所造成的胆胰返流是ＡＧＰ发病的重要原因；而共同通道具备了胆胰返流的解剖学基础；共同通道长，微小结石堵塞下端，而胆胰管开口保持互通又是ＡＧＰ重化的重要条件。早期内镜下行Ｏｄｄｉ括约肌切开（ＥＳ）或置入鼻胆导管引流（ＥＮＢＤ），清除或松动结石，解除梗阻，可迅速缓解病情，防止ＡＧＰ重症化。
Through the observation and treatment of 136 cases of acute gallstone pancreatitis (AGP) by endoscopy, combined with the literature on the causes of AGP, endoscopic treatment methods and timing were analyzed and discussed. The results showed that the most common causes of AGP were the obstruction of gallstone and pancreatic reflux due to the blockage of the lowermost common bile duct stone or the injury of stone rowing. The common channel possessed the anatomic basis of biliary and pancreatic reflux. The biliary and pancreatic duct openings to maintain interoperability is an important AGP heavy conditions. Early endoscopic sphincterotomy Oddi sphincter (ES) or nasobiliary catheter drainage (ENBD), clear or loose stones, relieve the obstruction, the disease can be quickly alleviated, to prevent severe AGP.