内镜胆管减压治疗急性胰腺炎

Tretment of acute pancreatitis with endoscopic biliaty duct decompression

76例急性胰腺炎(包括3例重症急性胰腺炎)接受了内镜胆管减压术(EBD)。包括内镜鼻胆管引流术(ENBD)55例,内镜乳头括约肌切开术(ES)14例。在减压成功的69例中顺利治愈67例,治愈率97.1%。EBD 术不成功改为其它治疗者7例。与剖腹手术比较,EBD 具有简便、安全、对患者打击小的优点。胰腺炎多为胆胰共同通道被结石、蛔虫堵塞,高压的胆汁逆流进入胰管所致。EBD 可解除这种堵塞,使胆胰分流,从根本上消除胰腺炎进一步加重的因素。

In this study,76 patients suffering from acute pan- ereatitis(AP)were treated by endoscopic biliary duct de- compression(EBD).EBD was successful in 69 patients, including 14 patients with endoscopic nas obiliary dran- age(EZB)and 14 patients with endoscopic sphincteroto- my (ES).67 patients were cured within an average of 8.5 days,and the cure rate was 97.1%.7 patients in which EBD was failed were treated by conservative regime and cured in a longer time(14.5 days).The re- sults showed that EBD has the advantage of simplicity, safety and small damage on patient comparing with la- parotomic biliary drainage.