急性胆源性胰腺炎的早期内镜治疗与保守治疗的对比分析

Comparative analysis of early endoscopic treatment of acute gallstone pancreatitis and conservative treatment

目的探讨急性胆源性胰腺炎的早期内镜下逆行胰胆管造影检查和治疗与保守治疗的临床疗效及安全性。方法64例急性胆源性胰腺炎患者,其中36例合并急性胆管炎患者采取急诊实施内镜下十二指肠乳头切开和取石术,28例采取保守治疗者为对照组。结果 36例胆源性胰腺炎合并胆管炎患者顺利实施ERCP;且较保守治疗组病情得到及时有效控制;同对照组相比所有患者均未出现严重并发症。结论 ERCP对于治疗急性胆源性胰腺炎合并急性胆管炎具有微创、安全、有效,是治疗急性胆源性合并急性胆管炎的有效方法之一。

Objective To study the efficacy and safety of urgent endoscopic management for acute biliary pancreatitis due to common bile duct （CBD） stones. Methods The data of 64 cases acute biliary pancreatitis were retrospectively analyzed. 36 patients were underwent urgent ERCP. 28 patients with acute biliary pancreatitis were treated conservatively, i Conclusions Compared with conservative treatment, endoscopic management at the early stage is a safe, simple and effective treatment for acute biliary pancreatitis due to CBD stones without complications related to endoscopic techniques. It offers an important alternative in the treatment of acute bil- iary pancreatitis.