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急性胆源性胰腺炎(ABP)是消化内科常见急腹症之一,是急性胰腺炎中最常见的类型,占急性胰腺炎每年发病人数的40%-60%,病死率较高,常规药物治疗不能从根本上解除病因,易导致复发,手术治疗风险较大,创伤较大,费用较高,住院时间较长,易引起其术后并发症,不利于患者恢复。而经内镜逆行胰胆管造影(ERCP)作为一种内镜与放射技术相结合的诊断治疗方法,对胆管内结石并发急性胰腺炎的诊断率是最高的,诊断结石的敏感性大于95%。在20世纪70年代被认为是急性胆源性胰腺炎的禁忌症,近年来随着ERCP技术的不断发展和广泛应用,ERCP已成为治疗胆胰疾病的一种安全有效的技术。ERCP可清除胆管结石,从而达到通畅胆道,减少胆汁向胰管反流,迅速改善患者病情,阻断病情进展的目的,并有效缩短住院时间,减轻患者痛苦,减少复发和改善总体预后,为广大ABP患者带来了福音,此外,还能减少患者住院费用,节省医疗资源,对于个人及社会均具有积极意义,值得推广。
Acute biliary pancreatitis (ABP) is one of the common acute abdomen in gastroenterology, is the most common type of acute pancreatitis, accounting for 40% -60% of the annual incidence of acute pancreatitis, high mortality, conventional drugs Treatment can not be fundamentally relieved of the cause, easily lead to recurrence, surgical treatment of a greater risk of trauma, higher cost, longer hospital stay, easy to cause their postoperative complications, is not conducive to the recovery of patients. Endoscopic retrograde cholangiopancreatography (ERCP) as a combination of endoscopic and radiological diagnosis and treatment of bile duct stones with acute pancreatitis is the highest diagnostic rate, the sensitivity of the diagnosis of stones greater than 95%. In the 1970s, it was considered a contraindication to acute gallstone pancreatitis. With the continuous development and extensive application of ERCP technology in recent years, ERCP has become a safe and effective technique for the treatment of biliary and pancreatic diseases. ERCP can clear the bile duct stones, so as to achieve the bile duct, reduce the bile to the pancreatic duct reflux, rapid improvement of the patient’s condition, the purpose of blocking the progression of the disease, and effectively shorten the hospital stay, reduce patient pain, reduce recurrence and improve the overall prognosis for the majority ABP patients bring the gospel, in addition, it can reduce hospitalization costs, save medical resources, for both individuals and the community have a positive meaning, it is worth promoting.