摘要
目的 研究胆总管结石患者实施内镜下括约肌切开术（EST）术后出现急性胰腺炎（AP）的危险因素.方法 回顾性分析2008年2月至2012年2月聊城市第三人民医院内科实施EST治疗的253例胆总管结石患者的临床资料,依据患者是否并发AP分为并发AP组（19例）和未并发AP组（234例）,对可能诱发AP的危险因素进行单因素分析以及多因素回归分析.结果 胰腺病史（OR 5.195,95％ CI0.826～9.243）,胰管未显影（OR 2.095,95％ CI0.271～6.232）,插管次数≥3次（OR 1.228,95％CI0.368～6.340）、大切切开术式（OR 3.343,95％CI0.941～7.32）、泥沙状结石（OR 3.947,95％CI 0.293～8.453）是EST取石患者术后导致AP的影响因素.结论 积极预防各种危险因素,降低EST术后AP的发生率,提高患者生活质量.
Objective To study the risk factors of acute pancreatitis（AP） after implementation of endoscopic sphincterotomy（EST） in patients with common bile duct stones.Methods Retrospective analysis of clinical information of 253 cases of common bile duct stones treated by EST in Liaocheng City Third People＇s Hospital from Feb.2008 to 2012 February was done,the predisposing factors to AP were analyzed by univariate analysis and muhivariate regression analysis.Results Pancreatic history（OR 5.195,95% CI0.826-9.243）,pancreatic undeveloped（OR 2.095,95 % CI0.271-6.232）,intubation ≥ 3 time（OR 1.228,95 % CI0.368-6.340）,open surgical incision（OR 3.343,95% CI0.941-7.32）,the characteristics of sand-like stones（OR 3.947,95% CI0.293-8.453） is a stone EST postoperative risk factor of the AP.Conclusion Active prevention on various risk factors can decrease AP incidence after EST and improve the quality of life of the patients.
出处
《医学综述》
2014年第14期2678-2680,共3页
Medical Recapitulate
关键词
胆总管结石
内镜下括约肌切开术
急性胰腺炎
诱发因素
Common bile duct stones
Endoscopic sphincterotomy
Acute pancreatitis
Predisposing factors
