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[目的]分析内镜诊治急性胆源性胰腺炎(ABP)的临床疗效及价值。[方法]收集确诊为胆源性胰腺炎患者90例,分为内镜治疗组36例及常规治疗组54例,比较2组临床疗效。[结果]内镜治疗组的症状缓解时间及住院天数明显少于常规治疗组,2组比较差异有统计学意义(P<0.05);内镜治疗组患者术后胰腺脓肿、假性囊肿等并发症及死亡例数明显少于常规治疗组,2组比较差异有统计学意义(P<0.05)。[结论]ABP早期内镜治疗可促进病情迅速改善,并减少并发症发生,疗效明显优于单纯内科治疗。
[Objective] To analyze the clinical effect and value of endoscopic diagnosis and treatment of acute gallstone pancreatitis (ABP). [Method] Ninety patients diagnosed as biliary pancreatitis were collected and divided into endoscopic treatment group (36 cases) and conventional treatment group (54 cases). The clinical curative effect was compared between the two groups. [Results] The symptom relieving time and hospitalization days in endoscopic treatment group were significantly less than those in conventional treatment group, with significant difference between the two groups (P <0.05). The postoperative pancreatic abscess, pseudocyst and other complications in the endoscopic treatment group The number of cases of illness and death was significantly less than the conventional treatment group, the difference between the two groups was statistically significant (P <0.05). [Conclusion] The early endoscopic treatment of ABP can promote the rapid improvement of the disease and reduce the occurrence of complications, the curative effect is obviously better than that of simple medical treatment.