内镜治疗急性胆源性胰腺炎110例疗效分析

Endoscopic treatment of acute gallstone pancreatitis analysis of 110 patients

目的:评价内镜治疗急性胆源性胰腺炎的临床价值。方法:对经内镜(ERCP)治疗的110例急性胆源性胰腺炎患者以及同期经内科保守治疗的50例急性胆源性胰腺炎患者的临床资料进行分析,评价ERCP治疗的临床价值。结果:保守治疗组和内镜介入治疗组腹痛缓解时间、住院时间、并发症、血清淀粉酶恢复时间、平均住院天数、平均费用之间比较均有显著性差异(P<0.05)。结论:急性胆源性胰腺炎应于24h内行ENBD或EST,对于轻症患者及无明显胆管梗阻者可先保守治疗后再行择期内镜治疗。

Objective：To evaluate the clinical value of endoscopy in the early treatment of acute biliary pancreatitis.Methods：The clinic data of 110 cases during 2006-09/2009-03 with acute biliary pancreatitis treated by endoscopic retrograde cholan-giopancreatography（ERCP） and 50 were treated with conservative treatment were reviewed retrospectively,to evaluate the clinical value of the ERCP.Results：All the differences of remission time of abdominal pain,the hospitalization,complication,recovery time of serum amylase,the average days of hospitalization,and the average cost between the conservative group and the endoscopic group had statistical significance（P0.05）.Conclusion：Acute gallstone pancreatitis patients should be performed by ENBD or EST within 24 hours,the mild acute pancreatitis and Patients with no significant biliary obstruction,can be treated by conservative treatment first and then by selective endoscopic therapy.