急性胆源性胰腺炎内镜治疗的个体化应用临床探讨

Discussion about Acute Gallstone Pancreatitis Endoscopic Treatment of the Individual Appilcation

目的：探讨内镜治疗急性胆源性胰腺炎（ABP）的个体化治疗原则。方法：选择2000年1月～2007年3月收治的55例急性胆源性胰腺炎患者，根据个体化原则，其中34例实施内镜治疗（24例）和腹腔镜（10例）（研究组）。内镜治疗组行逆行胰胆管造影（ERCP）、十二指肠乳头切开术（EST）和（或）鼻胆管引流术（ENBD）．腹腔镜组行置管引流术、胆囊切除、胆总管切开取石T管引流。与同期保守治疗或外科手术治疗（对照组）21例比较。结果：全组死亡1例，研究组与对照组比较血淀粉酶恢复时阀，白细胞恢复正常时间和住院时间短。并发症发生少。结论：内镜下个体化治疗原则治疗急性胆源性胰腺炎安全有效。

Objective： To Investigate the endoeoopic treatment of acute gallstone pancreatltls （ASP） lndvlduallzed treatment prlnolple. Methods：January 2000 to March 2007 trented 55 oases of acute gallstone panereatltls patient6, according to the principle of individual implementerion of which 34 cases endoscopic therapy（24 cases） and laparoscoplc（10 cases） ）study group）, the treatment group endoscopic retrograde cholangiopancreatography trip （ERCP）, in the duodenum EST and （or） nasobiliary drainage（ENBD）, the laparoscoplc group trip home for drainage, dholeoystectomy, the coommon bile duct and stone removal T - tube drainage. Conservative treatment wlth the same perlod or surgioal treatment（control group）21 cases compared. Results. There was ons case of death, the Study group compared with the control group blood amylase recovery time. Interleukln resume normal time and shorter hospitalization time. less complication. Conclusions： Endoscopic principles of individualized treatment for acute gallstone pancreatitls safe and effective.