早期内镜诊断和治疗隐匿型胆源性胰腺炎

Endoscopic diagnosis and treatment of early occult bfliarypancreatitis

目的探讨早期内镜诊断和治疗隐匿型胆源性胰腺炎的临床价值。方法2007年1月至2009年12月完成的93例急性胰腺炎早期内镜治疗，常规进行内镜乳头切开，观察治疗后症状缓解和复发情况。结果急性胆源性胰腺炎占62．4％（58／93），其中经内镜诊治隐匿型胆源性胰腺炎占27．6％（16／58），内镜治疗缓解率93．8％（15／16），无手术和复发病例。结论隐匿型胆源性胰腺炎占有一定的比例，容易漏诊和复发，内镜是目前最有效的诊断和治疗方法。

Objective To explore early endoscopic diagnosis and treatment of the clinical value of biliarypancreatitis. Methods From January 2007 to December 2009 completed 93 cases acute pancreatitis of endoscopic treatment,routining for endoscopic incision nipple,observed remission of symptoms and recurrence after treatment. Results In these cases acute biliarypancreatitis was 62.4% （58/93）,occuh biliarypancreatitis diagnosed by endoscopy was 27.6% （16/58）,remission rate was 93.8% （15/16）,no surgical operation and recurrence. Conclusion Occult biliarypancreatitis occupies a certain proportion of acute pancreatitis,also easily missed diagnosis and recurred,endoscopy is currently the most effective method.