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目的探讨早期经内镜下十二指肠乳头括约肌切开术(Endoscopic sphincterotomy,EST)联合鼻胆管引流术治疗急性胆源性胰腺炎的临床疗效。方法选择早期经内镜EST联合鼻胆管引流术治疗的急性胆源性胰腺炎患者43例(研究组)与内科传统保守治疗的48例急性胆源性胰腺炎患者(对照组)进行回顾性分析。结果与对照组相比,研究组疗效显著。结论早期经内镜EST联合鼻胆管引流术治疗急性胆源性胰腺炎具有微创、安全、有效、迅速的作用。
Objective To investigate the clinical efficacy of early endoscopic sphincterotomy (EST) combined with nasobiliary drainage in the treatment of acute gallstone pancreatitis. Methods Forty-three patients with acute gallstone pancreatitis treated by endoscopic EST combined with nasobiliary drainage (study group) and 48 patients with acute gallstone pancreatitis (control group) treated by traditional conservative treatment were retrospectively analyzed . Results Compared with the control group, the study group had a significant effect. Conclusion Early endoscopic EST combined with nasobiliary drainage for the treatment of acute gallstone pancreatitis has the advantages of minimally invasive, safe, effective and rapid action.