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目的探讨采用ERCP治疗良性胆系疾病后并发胰腺炎的危险因素。方法随机搜集126例江西临川第三人民医院收治的行ERCP治疗的良性胆系疾病患者为研究对象,其中,患有胰腺炎的患者有59例,为研究组;没有胰腺炎的患者67例,为对照组。分别调查2组患者资料,对良性胆系疾病行ERCP并发胰腺炎的相关危险因素进行分析。结果经调查分析,2组患者胰管损伤、胆管压迫、手术时间,急性胰腺炎病史等方面比较,(P<0.05),具有统计学意义(P<0.05)。结论良性胆系疾病行ERCP并发胰腺炎的相关危险因素包括胰管损伤、胆管压迫、手术时间过长、急性胰腺炎病史、插管次数、胰管多次造影、胆总管疾病、胆石性疾病等,尽量避免危险因素可有效减少胰腺炎的发生。
Objective To investigate the risk factors of pancreatitis after ERCP treatment of benign biliary diseases. Methods 126 cases of benign biliary diseases treated by ERCP were randomly selected from 126 cases of Third People’s Hospital of Linchuan, Jiangxi Province. Among them, 59 cases with pancreatitis were the study group; 67 cases without pancreatitis , For the control group. The data of two groups were respectively investigated to analyze the related risk factors of ERCP complicating pancreatitis in patients with benign biliary diseases. Results After investigation and analysis, the pancreatic duct injury, bile duct compression, operation time and history of acute pancreatitis in two groups were statistically significant (P <0.05). Conclusions The risk factors associated with ERCP complicating pancreatitis in patients with benign biliary diseases include pancreatic duct injury, bile duct compression, long operation time, history of acute pancreatitis, number of intubation, multiple pancreatic duct angiography, common bile duct disease and gallstone disease , Try to avoid the risk factors can effectively reduce the incidence of pancreatitis.