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探讨和分析ERCP及EST术后早期并发症及其处理方法。结果:我院近4年(1994年1月～1997年11月)行2225例次ERCP及EST术后共发生并发症者57例(2.56％),其中急性胰腺炎35例(1.57％),胆管感染5例(0.22％),出血12例(0.54％),结石及网篮嵌顿1例(0.04％),药物反应2例(0.09％),后腹膜腔积气2例(0.09％),经保守治疗痊愈54例(94.74％),手术治疗3例(5.26％),死亡1例(0.04％)。结论:诊断性ERCP并发症中以急性胰腺炎发生率为高,与插管困难、反复显影、注造影剂压力过大及量过多有关。EST并发症中以出血最为常见,与操作、黄疸、糖尿病有关。绝大多数发生并发症患者可经内镜治疗及内科保守治疗而得以痊愈(94.74％),仅极少数病人需要外科手术治疗。
Explore and analyze the early postoperative complications of ERCP and EST and its treatment methods. Results: In the past 4 years (January 1994 to November 1997), 2225 cases of complications occurred in 57 cases (2.56%) of ERCP and EST patients, including 35 cases (1.57%) of acute pancreatitis, Bile duct infection in 5 cases (0.22%), bleeding in 12 cases (0.54%), stone and basket incarceration in 1 case (0.04%), drug reaction in 2 cases (0.09% 54 cases (94.74%) were cured by conservative treatment, 3 cases (5.26%) were treated by surgery, and 1 case (0.04%) died. Conclusions: The incidence of acute pancreatitis in the diagnosis of ERCP is high, which is related to the difficulty of intubation, repeated development, over-pressure of injection contrast agent and over-quantity of ERCP. Bleeding in EST complications is the most common, and the operation, jaundice, diabetes. The vast majority of patients with complications can be cured by endoscopic and conservative medical treatment (94.74%), only a very small number of patients need surgical treatment.