摘要
目的分析治疗性内窥镜下逆行胰胆管造影术(ERCP)术后急性胰腺炎与原发疾病的关系。方法选取2017年9月—2018年2月期间于我院消化内科行治疗性ERCP术的300例胰胆疾病患者,根据术后是否发生急性胰腺炎将其分为2组,发生组(n=20)、未发生组(n=280),分析术后急性胰腺炎与原发疾病之间的关系。结果发生组患者原发疾病所占比例依次为急性胆源性胰腺炎、胰腺癌、胆管癌、急性化脓性胆管炎、壶腹部癌、壶腹部嵌顿结石、胆总管结石、胆管炎性狭窄;发生组患者胆总管结石所占比例低于未发生组,胆管癌、胰腺癌所占比例高于未发生组,差异具有统计学意义(P<0.05);发生组急性化脓性胆管炎、急性胆源性胰腺炎、壶腹部癌所占比例略高于未发生组,胆管术后胆管狭窄、壶腹部嵌顿结石所占比例略低于未发生组,但差异无统计学意义(P>0.05);2组胆管炎性狭窄所占比例比较差异无统计学意义(P>0.05)。结论胰胆炎症疾病、癌症及结石患者具有较高的治疗性ERCP术后急性胰腺炎发生风险,胆管腔疾病患者发生风险较低。
Objective To analyze the relationship between therapeutic post-endoscopic retrograde cholangiopancreatography（ERCP）pancreatitis and primary disease. Methods 300 patients with cholangio-pancreatic disease treated by therapeutic ERCP in our department of Gastroenterology from September 2017 to February 2018 were selected. All the patients were divided into occurrence group（n=20）and non-occurrence group（n=280）according to whether having post-ERCP pancreatitis. The relationship between post-ERCP pancreatitis and primary disease was analyzed. Results The incidence of primary diseases in occurrence group followed by acute biliary pancreatitis,pancreatic cancer,cholangiocarcinoma,acute suppurative cholangitis,ampullary carcinoma,ampullary incarcerated stones,common bile duct stones,inflammatory biliary stenosis. The incidence of common bile duct stones in occurrence group was lower than that in non-occurrence group,while the incidence of cholangiocarcinoma and pancreatic cancer in occurrence group was higher than that in non-occurrence group（P〈0.05）.The incidence of acute suppurative cholangitis,acute biliary pancreatitis,ampullary carcinoma in occurrence group was slightly higher than that in non-occurrence group,and the incidence of biliary stenosis and ampullary incarcerated stones in occurrence group was slightly lower than that in non-occurrence group,but there was no statistical difference（P〈0.05）.There was no statistical difference in the incidence of inflammatory biliary stenosis（P〈0.05）.Conclusion The patients with cholangio-pancreatic inflammatory disease,cancer and stones have higher risks of post-ERCP pancreatitis,but the patients with biliary tract diseases have lower risks of post-ERCP pancreatitis.
作者
陈云云
黎筱青
朱乔宏
Chen Yunyun;Li Xiaoqing;Zhu Qiaohong(The People＇s Hospital of Fengcheng City,Fengcheng,Jiangxi 331100)
出处
《基层医学论坛》
2018年第19期2611-2612,共2页
The Medical Forum
基金
宜春市科技计划任务(JXYC2017KSD007)
关键词
治疗性内窥镜下逆行胰胆管造影术
术后急性胰腺炎
原发疾病
相关性
Therapeutic endoscopic retrograde
cholangiopancreatography Post-ERCP
pancreatitis
Primarydisease Relationship
