摘要
目的观察腹腔镜胆囊切除术(LC)联合内镜(ERCP)早期治疗急性胆源性胰腺炎(ABP)的效果。方法收集2005年6月至2014年12月152例ABP患者,所有患者先行ERCP+十二指肠乳头括约肌切开术治疗,102例合并胆囊结石病例序贯行LC。结果检查发现胆总管结石140例,12例胆总管下端狭窄放置支架(其中7例怀疑恶性占位)。术后未出现十二指肠穿孔及胰腺炎加重等严重并发症。结论 140例胆总管结石术后未出现并发症,102例LC患者治愈出院。腹腔镜联合ERCP早期治疗ABP安全、有效,值得临床推广使用。
Objective To investigate the value of LC combined ERCP in diagnosis and treatment of early acute billiary pancreatitis. Methods The data of 152 cases with acute billiary pancreatitis in our hospitals from Jun. 2005 to Dec. 2014 were retrospectively analyzed. All cases were treated with ERCP ＋EST,140 cases were choledocholithiasis,in which 102 cases with gallblader were cured by LC,12 cases were placed stent（ 7 cases carcinoma）. There was no severe complication（ perforation and pancreatitis aggravated）. Results 140 cases were choledocholithiasis,12 cases with common bile duct stricture,7cases were carcinoma. Conclusions The major cause of acute pancreatitis was biliary factor. For these cases,the treatment by LC combined ERCP was safe and effective.
出处
《中华腔镜外科杂志（电子版）》
2015年第3期54-56,共3页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
