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目的探讨早期内镜治疗急性胆源性胰腺炎的临床疗效及并发症。方法 86例急性胆源性胰腺炎患者随机分成对照组(44例)和内镜治疗组(42例)。所有病例均给予积极的常规综合治疗,内镜治疗组在入院72h内行逆行胰胆管造影和经内镜十二指肠乳头括约肌切开或鼻胆管引流治疗。观察两组的临床疗效并对相关指标进行对比分析。结果内镜治疗组腹痛缓解时间、体温恢复正常时间、血/尿淀粉酶降至正常时间、肝功能恢复时间、平均住院天数以及并发症的发生率和死亡率明显少于对照组(P<0.05)。结论急性胆源性胰腺炎早期ERCP等内镜治疗安全有效、恢复快、并发症少。
Objective To investigate the clinical efficacy and complications of early endoscopic treatment of acute gallstone pancreatitis. Methods A total of 86 patients with acute gallstone pancreatitis were randomly divided into control group (44 cases) and endoscopic treatment group (42 cases). All cases were given active conventional treatment. The endoscopic treatment group underwent retrograde cholangiopancreatography and endoscopic duodenal sphincterotomy or nasobiliary drainage within 72 hours after admission. The clinical efficacy of the two groups was observed and the relative indexes were compared. Results The endoscopic treatment group had less pain relief time, normal body temperature recovery time, normal blood / urine amylase time, liver function recovery time, average length of hospital stay, and complications than those in the control group (P <0.05 ). Conclusion Early ERCP endoscopic treatment of acute biliary pancreatitis is safe and effective, with rapid recovery and few complications.