摘要
目的探讨急性胆道和乳头源性胰腺炎早期内镜治疗价值及安全性。方法选择28例胆道和乳头病变的急性胰腺炎病人(治疗组)早期行内镜治疗,并与保守综合治疗急性胰腺炎患者(对照组)36例进行比较,观察腹痛、血淀粉酶变化及并发症情况。结果27例经内镜成功治疗的病人无1例病情加重,内镜治疗后腹痛消失时间与血淀粉酶恢复时间及并发症均明显低于对照组(P<0.01);1例内镜治疗未成功病人出现重症胰腺炎表现,但未出现其他情况。对照组出现1例死亡。结论急性胆道和乳头源性胰腺炎早期内镜介入治疗是有效的,但也存在一定风险。
Objective To study on the value and safety of early endoscopic therapy in acute pancreatitis due to biliary and duodenal papilla diseases. Methods 28 patients with acute pancreatitis due to biliary and duodenal papilla disease received early endoscopic therapy （therapy group） ,another 36 patients with acute pancreatitis due to same cause receive traditional therapy （control group）, we observed and contrasted their complications and duration of abdominal pain disappearance and serum amylase recovery. Results 27 patients with acute pancreatitis due to biliary and duodenal papilla disease were performed successfully endoscopic therapy, and no one of them was worsen. The time of the disappearance of abdominal pain and the recovery of serum amylase levels were significantly shorter in the therapy group than in the control group（P〈0.01）. the One patient who was performed unsuccessfully endoscopic therapy was aggravated, but no other things appeared. There was one patient dead in the control group. Conclusion Early endoscopic therapy is an effective treatment in acute pancreatitis due to biliary and duodenal papilla disease,but it may be a little dangerous.
出处
《实用临床医学（江西）》
CAS
2008年第7期18-20,共3页
Practical Clinical Medicine
关键词
胰腺炎
胆道和乳头病变
内镜治疗
pancreatitis
biliary and papilla disease
endoscopic therapy
