急性胆源性胰腺炎的早期内镜治疗

目的探讨内镜治疗急性胆源性胰腺炎的疗效。方法对我院2002年7月～2007年10月行ERCP+EST+ENBD等方法治疗急性胆源性胰腺炎62例的临床资料进行回顾性分析。结果本组62例在入院72h内均接受了EST胆总管取石治疗,20例同时接受了ENBD治行经内镜治疗。其中58例得到治愈,术后发生出血1例、形成胰腺脓肿接受开腹手术2例、治疗未成功转外科手术l例。结论ERCP对急性胆源性胰腺炎的诊断有重要价值,内镜是治疗急性胆源性胰腺炎安全、有效的方法之一。

Objective To study the efficacy of urnent endoscopic mananement for acute biliary pancreatitis due to common bile duct （CBD） stones. Methods sixty-two patients with acute biliary pancreatitis underwent urnent ERCP and EST or ENBD, and the mananement succeeded in 61 patients. Results All the 62 patients had ERCP and EST,20 had the ENBD at the same time, of them, 58 patients were cure. Postoperative bleeding occurred in one case, 2 had laparotomy later for a complication of pancreatic abscess, 1 was transferred to surgery department for surgery due to the failure treatment. Conclusion Compared with surnery, urnent endoscopic mananement is a safe, simple and effective measure for acute biliary pancreatitis due to CBD stones, it offers an important alternative in the treatment of acute biliary pancreatitis.