ERCP在急性复发性胰腺炎病因诊断中的临床研究

Application of ERCP technology in the etiological diagnosis of acute relapsing pancreatitis

目的:研究内镜下逆行胰胆管造影术(ERCP)在急性复发性胰腺炎病因诊断中的临床价值。方法:回顾性分析2011-01~2016-01我科收治的47例急性复发性胰腺炎患者,分别行ERCP观察胆胰管开口情况,并行内镜下十二指肠乳头状括约肌切开术(EST)、胆胰管塑料支架置入术、胰管括约肌切开术等。结果:ERCP相关技术探查发现胆道微结石(<2 mm)37例、胆总管下段狭窄2例、胰腺分裂症1例、胆总管末端肿物1例、Oddi括约肌功能障碍(SOD)3例、十二指肠乳头旁憩室3例,经ERCP治疗后胰腺炎症状、酶学指标均显著改善,随访1~2年后胰腺炎未再复发。结论:ERCP在急性复发性胰腺炎病因诊断中效果确切,具有较好的临床价值。

Objective:To study the clinical value of endoscopic retrograde cholangiopancreatography(ERCP)in the etiological diagnosis of acute recurrent pancreatitis.Methods:A total of 47 patients with acute recurrent pancreatitis between January 2011 and January 2016 were retrospectively analyzed.The ERCP,endoscopic sphincterotomy,plastic stent implantation for biliary and pancreatic duct,and pancreatic sphincterotomy were performed for them.Results:ERCP related technology showed biliary microlithiasis(<2mm)in 37 patients,inferior segment stenosis of common bile duct in 2,pancreas divisum in one,distal common bile duct tumor in one,sphincter of oddi dysfunction(SOD)in 3and duodenal diverticula in3.The symptoms of pancreatitis and enzymology indexes were significantly improved after ERCP intervention and there was no recurrence of pancreatitis during followed up 1to 2years.Conclusion:ERCP is effective in the etiological diagnosis of acute recurrent pancreatitis.