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目的探讨逆行胰胆管造影(ERCP)下胆道引流治疗急性化脓性胆管炎(AOSC)的疗效及安全性。方法 53例急性梗阻性化脓性胆管炎患者,行ERCP下胆道引流治疗,观察患者术前、术后的腹痛、体温(T)异常、白细胞计数(WBC)异常、肝功能变化情况及术后并发症发生率。结果与术前比较,术后患者T全部恢复正常,WBC异常减少,总胆红素(TBIL)及谷氨酸转肽酶(GGT)水平明显下降(P<0.01);术后出现急性胰腺炎1例,高淀粉酶血症2例,无出血、穿孔及死亡患者。结论 ERCP下胆道引流治疗急性梗阻性化脓性胆管炎安全有效,创伤小,能迅速缓解胆道梗阻,应为首选治疗方法。
Objective To investigate the efficacy and safety of biliary drainage under cholangiography (ERCP) in the treatment of acute suppurative cholangitis (AOSC). Methods Fifty-three patients with acute obstructive suppurative cholangitis underwent ERCP undergoing biliary drainage. Abdominal pain, abnormal body temperature (T), abnormal white blood cell count (WBC), changes of liver function and postoperative complications The incidence of disease. Results Compared with those before operation, all T patients returned to normal, WBC abnormalities decreased, TBIL and GGT decreased significantly (P <0.01), and acute pancreatitis 1 case, 2 cases of high amylasemia, no bleeding, perforation and death of patients. Conclusions ERCP under biliary drainage for the treatment of acute obstructive suppurative cholangitis is safe and effective, with less trauma and rapid biliary obstruction. It is the first choice of treatment.