ERCP在127例急诊胆道

ERCP in 127 cases of acute biliary ascariasis

目的探讨经内镜逆行胆胰管造影(ERCP)的临床价值,以提高急诊胆道蛔虫病治疗水平。方法回顾性分析127例急诊胆道蛔虫病行ERCP的临床资料。结果121例治疗成功,6例失败,总的成功率为95.3%。术后并发急性胆囊炎3例(2.4%),急性胰腺炎1例(0.8%),术后出血2例(1.6%)。结论ERCP治疗急诊胆道蛔虫病安全、有效、并发症少,值得临床推广,但在ERCP治疗前及治疗过程中要重视影像学的诊断分析,以提高治疗的成功率。

Objective To evaluate the clinical value of ERCP,and to improve the acute biliary ascariasis. Methods The clinical data of 127 cases of acute aseariasis with ERCP were analysed retrospectively. Results Therapeutic effort was excuted in 121cases. Six cases failed to cure. The total success rate of endoscopic treatment was 95.3%. The incidense rate of acute cholangitis,pancreatitis and post-surgical hemorrhage after treatment was 2.4%,0.8% and 1.6%,respectively. Conclusion ERCP is a safe and effective procedure in treatment of acute biliary ascariasis with few complications and should he promoted in clinical application. However, more attention must be paid to analyze the X-ray signs in order to improve the therapeutic success rate.