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目的探讨内镜下EST联合ENBD对急性胆源性胰腺炎的治疗作用。方法对82例急性胆源性胰腺炎患者在抗炎、抑酶等综合治疗的基础上,行内镜(1～3d内)ERCP及EST或ENBD等治疗。结果 82例急性胆源性胰腺炎(包括15例重症胰腺炎)均治愈,其中3例发生迟发性十二指肠乳头括约肌切口出血,经内科保守治疗,未发生严重内镜治疗的并发症,有效地减轻了患者腹痛和降低了血淀粉酶,缩短了病程,疗效满意。结论早期的内镜治疗急性胆源性胰腺炎安全、疗效好,值得临床推广。
Objective To investigate the therapeutic effect of endoscopic EST combined with ENBD on acute gallstone pancreatitis. Methods Eighty - two patients with acute gallstone pancreatitis were treated with ERCP, EST or ENBD endoscopy (1-3 days) on the basis of anti - inflammation and aprotinin therapy. Results 82 cases of acute biliary pancreatitis (including 15 cases of severe pancreatitis) were cured, of which 3 cases of delayed duodenal sphincter incision bleeding, conservative medical treatment, no serious complications of endoscopic treatment , Effectively reducing the patient’s abdominal pain and reducing blood amylase, shorten the course of the disease, the effect is satisfactory. Conclusion Early endoscopic treatment of acute gallstone pancreatitis safe, good effect, it is worth clinical promotion.