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目的:探讨治疗性ERCP的疗效及失败原因,以提高胆胰疾病的治疗水平。方法:患者52例,男20例,女32例,平均年龄57.2岁,全部接受治疗性ERCP。结果:44例治疗成功,其中胆道恶性梗阻8例,3例支架置入,经内镜乳头肌切开32例(合并取石24例),胆道取蛔虫4例,共有12例行鼻胆管引流术,8例治疗失败。结论:治疗性ERCP治疗胆胰疾病安全、有效,并发症少,值得临床推广,但在ERCP治疗前及治疗过程中要重视影像学的诊断分析,以提高治疗成功率。
Objective: To investigate the curative effect and failure reason of therapeutic ERCP in order to improve the treatment of biliary and pancreatic diseases. Methods: 52 patients, 20 males and 32 females, with an average age of 57.2 years, all received therapeutic ERCP. Results: Forty-four patients were successfully treated, including 8 cases of malignant biliary obstruction, 3 cases of stent placement, 32 cases of endoscopic papillary muscle excision (24 cases combined with stone removal), 4 cases of biliary ascariasis, 12 cases of nasobiliary drainage , 8 cases of treatment failed. Conclusion: Therapeutic ERCP treatment of biliary and pancreatic diseases is safe, effective and less complication. It is worth to be popularized clinically. However, before and during the treatment of ERCP, attention should be paid to the diagnostic analysis of imaging to improve the success rate of treatment.