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目的探讨妊娠合并急性胆源性胰腺炎(ABP)的病因及内镜治疗的临床应用价值和安全可行性。方法回顾性分析该院收治的23例经内镜治疗的ABP患者的临床资料。结果 23例经内镜治疗的患者中,20例(86.96%)治愈,其中行内镜下十二指肠乳头括约肌切开术(EST)治愈者12例,内镜下鼻胆管引流术(ENBD)治愈者2例,ENBD后腹腔镜治愈者4例;2例(8.70%)因并发多器官功能衰竭母婴死亡,2例患者经内镜治疗病情加剧,紧急开腹手术并终止妊娠后1例治愈,另1例死亡,胎儿均死亡。胎儿共死亡4例(17.39%)。结论 ABP早期行内镜介入,治疗效果好,安全可行,值得推广应用。
Objective To investigate the etiology of pregnancy complicated with acute gallstone pancreatitis (ABP) and the clinical value and safety feasibility of endoscopic treatment. Methods The clinical data of 23 patients with endoscopic ABP treated in our hospital were retrospectively analyzed. Results Twenty-two patients (86.96%) were cured by endoscopic treatment, of whom 12 underwent endoscopic papillary sphincterotomy (EST), endoscopic nasobiliary drainage (ENBD ) Were cured in 2 cases, 4 cases were cured by laparoscopy after ENBD; 2 cases (8.70%) died of maternal and infant complications due to multiple organ failure, 2 cases were exacerbated by endoscopic treatment, emergency laparotomy and termination of pregnancy 1 Case cured, another case of death, the fetus were killed. Fetal total death in 4 cases (17.39%). Conclusion The early ABP endoscopic intervention, the treatment effect is good, safe and feasible, it is worth promoting.