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目的探讨应用治疗性逆行内镜胰胆管造影(ERCP)技术在治疗急性胆源性胰腺炎中的作用。方法1999年至2006年我们共对132例急性胆源性胰腺炎(BAP)其中36例为重症胰腺炎(SAP),施行了以经内镜鼻胆管引流术(ENBD)、经内镜十二指肠乳头切开术(EST)为主的综合疗法治疗,分析该治疗方法的临床应用价值。结果本组有124例获得了成功,总成功率为94%,未发生消化道穿孔、出血及胰腺炎加重等并发症,取得了满意的疗效。结论治疗性ERCP技术在治疗急性胆源性胰腺炎中起到缓解病情发展,并对原发疾病胆总管结石也起到很好的治疗效果。
Objective To investigate the application of therapeutic retrograde endoscopic cholangiopancreatography (ERCP) in the treatment of acute gallstone pancreatitis. Methods From 1999 to 2006, we collected 132 cases of acute biliary pancreatitis (BAP), of which 36 cases were severe pancreatitis (SAP). The patients underwent endoscopic nasobiliary drainage (ENBD) Refers to the total nipple incision (EST) -based comprehensive treatment, analysis of the clinical value of the treatment. Results 124 cases were successful in this group, with a total success rate of 94%. No complications such as gastrointestinal perforation, hemorrhage and aggravating pancreatitis were observed and satisfactory results were obtained. Conclusion Therapeutic ERCP plays an important role in the treatment of acute gallstone pancreatitis. It also plays a good therapeutic effect on primary common bile duct stones.