内镜治疗慢性胰腺炎99例疗效分析

Analysis of the efficacy of endoscopic treatment for chronic pancreatitis

目的探讨慢性胰腺炎(CP)的内镜治疗效果。方法回顾性分析解放军总医院2000年11月至2009年3月住院且经内镜治疗的99例CP患者的临床病例资料,评价内镜治疗CP的效果。结果成功治疗并随访77例患者,内镜治疗后近期症状缓解率为86.9%,远期缓解率为61.0%。9例患者转而选择接受外科治疗,2例患者死亡。术后并发症9例次:术后胰腺炎5例次,出血2例次,胆道感染1例次,穿孔1例次,无死亡病例。结论内镜治疗CP是一种安全、有效的方法 。

Objective To determine the efficacy of endoscopic treatment for chronic pancreatitis （CP）. Methods The clinical data of CP patients in our department from December of 2000 to March of 2009 were reviewed retrospectively. Results 77 patients had been successfully followed up. The short-term clinical symptom remission rate was 86. 9% and the long-term 61.0%. 9 patients underwent surgery after endoscopic treatment during the follow-up. The incidence of complications related to endoscopic treatment was 5.1% including post-ERCP （emloscopic retrograde cholangiopancreatography） pancreatitis,hemorrhage,cholangitis and perforation. No death related to endoscopic treatment occurred. Conclusion Endoscopic treatment for CP is safe and effective.