急性胆源性胰腺炎的内镜治疗

Urgent treatment of acute biliary pancreatitis by endoscopic retrograde cholangiopancreatography and endoscopic sphincterotomy

目的探讨内镜对急性胆源性胰腺炎(ABP)的治疗作用。方法分析该院急诊内镜诊疗ABP患者22例,观察其效果及并发症。结果22例ABP病因分别为胆管结石14例,胆管结石+胆囊结石4例,胆道蛔虫2例,十二指肠乳头炎2例。内镜逆行胰胆管造影(ERCP)对ABP的病因诊断明显优于B超、CT和MRCP。22例ABP患者行急诊内镜治疗均获成功,其中13例行急性乳头括约肌切开术(EST)和鼻胆管引流术(ENBD)、9例行鼻胆管引流术(ENBD),22例ABP经内镜治疗后均获得良好效果,1例合并胆管及肺部感染,1例合并胰腺假性囊肿,未出现其他并发症及死亡情况。结论EST和ENBD是治疗ABP的理想方法。

[Objective] To study the efficacy of urgent endoscopic management for acute biliary pancreatitis (ABP) is due to common bile duct stones. [Methods] 22 cases of acute biliary pancreatitis treated with early therapeutic endoscopic retrograde cholangiopancreatography (ERCP) were observed. The effect,complications and safety were evaluated. [Result] Among the 22 cases of ABP cause for bile duct stone in 14 cases, bile duct stone and Cholecystolithiasis 4 cases, biliary duct roundworm 2 cases, 2 cases of duodenu...