摘要
目的探讨ERCP术后相关并发症发生的原因及处理方法。方法回顾性分析2008年1月至2012年1月期间在我院行ERCP检查的患者325例,探讨ERCP术后并发症产生的原因、临床表现及防治措施。结果 325例病例中并发症发生28例,发生率为8.61%。其中急性胰腺炎18例,发生率为5.53%;胆管炎7例,发生率为2.15%;消化道出血3例,发生率为0.92%;无消化道穿孔及死亡病例。结论导管反复进入胰管或胰管显影是并发胰腺炎的最主要危险因素;胆道梗阻因素的存在是导致ER-CP后胆道感染的主要原因。严格掌握ERCP治疗指征,常规行胰管、胆管引流等可,可以减少并发症的发生,提高治疗性ERCP的安全性。
Objective To explore the complications of ERCP and its related Preventionand control measures. Methods retrospecticely analyzed.325 cases carried out with ERCP in our hospital between January 2008 to January 2012 and studied their complications and treatment. Results 325 cases of ERCP examination and treatment of cases complications occurred in 28 cases, the occurrence rate of 8. 61%. 18 cases of acute pancreatitis, the incidence rate of 5.53%, cholangitis in 7 cases, the incidence rate of 2. 15 %, gastrointestinal bleeding in three cases, the rate was 0.92%, gastrointestinal perforation and deaths. Conchmion Repetitive endoscopic retrograde cannulation of the pancreatic is the most important factor for complication of acute pancre- atitis. Biliary obstruction is the main reason leading to post-ERCP biliary infection.
出处
《中国实用医药》
2012年第21期14-16,共3页
China Practical Medicine
关键词
内镜逆行胰胆管造影(ERCP)
并发症
Endoscopic retrograde cholangio pancreatography （ERCP）
Complications
