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目的:探讨内镜治疗急性胆源性胰腺炎(ABP)的个体化治疗原则。方法:选择2000年1月~2007年3月收治的55例急性胆源性胰腺炎患者,根据个体化原则,其中34例实施内镜治疗(24例)和腹腔镜(10例)(研究组),内镜治疗组行逆行胰胆管造影(ERCP)、十二指肠乳头切开术(EST)和(或)鼻胆管引流术(ENBD),腹腔镜组行置管引流术、胆囊切除、胆总管切开取石T管引流。与同期保守治疗或外科手术治疗(对照组)21例比较。结果:全组死亡1例,研究组与对照组比较血淀粉酶恢复时间,白细胞恢复正常时间和住院时间短,并发症发生少。结论:内镜下个体化治疗原则治疗急性胆源性胰腺炎安全有效。
Objective: To explore the principle of individualized treatment of endoscopic treatment of acute gallstone pancreatitis (ABP). Methods: Fifty-five patients with acute gallstone pancreatitis admitted from January 2000 to March 2007 were selected. According to the principle of individuation, 34 patients underwent endoscopic treatment (24 cases) and laparoscopy (10 cases) ), ERCP, EST and / or ENBD, laparoscopic catheter drainage, cholecystectomy, laparoscopic choledocholithotomy, endoscopic retrograde cholangiopancreatography (ERCP) Common bile duct stone T tube drainage. With conservative treatment or surgical treatment over the same period (control group) 21 cases. Results: All patients died in 1 case. Compared with the control group, the recovery time of blood amylase, the normal time of leukocyte recovery and the length of hospital stay were shorter in the study group than in the control group, with fewer complications. Conclusion: The principle of individualized endoscopic treatment of acute biliary pancreatitis safe and effective.