急性胆源性胰腺炎内镜治疗的临床对比研究
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陈晓琴, 吴 静, 刘雄昌
急性胆源性胰腺炎;内镜;逆行胰胆管造影;鼻胆管引流;内镜下乳头括约肌切开术,陈晓琴,吴静,陈晓琴,刘雄昌,通讯作者:,Clinicalcontraststudyofendoscopictreatmentforacutebiliarypancreatit
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陈晓琴, 吴静, 兰州大学附属第一医院消化内科 甘肃省兰州市 730000
陈晓琴, 刘雄昌, 兰州市第一人民医院 甘肃省兰州市 730050
通讯作者: 陈晓琴, 730050, 甘肃省兰州市, 兰州市第一人民医院消化内科. gslztys@126.com
电话: 0931-2654135
收稿日期: 2006-09-26 接受日期: 2006-11-16
Clinical contrast study of endoscopic treatment for acute biliary pancreatitis
Xiao-Qin Chen, Jing Wu, Xiong-Chang Liu
Xiao-Qin Chen, Jing Wu,Department of Gastroenterology, the First Affiliated Hospital of Lanzhou University, Lanzhou 730000, Gansu Province, China
Xiao-Qin Chen, Xiong-Chang Liu,the First People’s Hospital of Lanzhou City, Lanzhou 730050, Gansu Province, China
Correspondence to:Xiao-Qin Chen, the First People’s Hospital of Lanzhou City, Lanzhou 730050, Gansu Province, China. gslztys@126.com
Received:2006-09-26 Accepted:2006-11-16
Abstract
AIM: To explore the value of endoscopic treat-ment for acute biliary pancreatitis (ABP).
METHODS: A total of 119 ABP (including severe ABP) patients were treated with endoscopy (n = 40), drugs (n = 42), and operation (n = 37), respectively. The symptoms, laboratory indexes, rates of complications and deaths as well as in-hospital time were comparatively analyzed between the three groups.
RESULTS: The rates of complications and deaths were 12.5% (5/40) and 5.0% (2/40) in endoscopic treatment group, 29.7% (11/37) and 5.4% (2/37) in surgical treatment group, and 23.8% (10/42) and 7.1% (3/42) in drug treatment group, respectively. The symptoms, laboratory indexes, rates of complications and deaths as well as in-hospital time were obviously improved in comparison with those in the other two groups (P < 0.05).
CONCLUSION: Endoscopic treatment for ABP, especially SABP, is effective, safe, economical, simple and convenient, with fewer complications.
Key Words: Acute biliary pancreatitis; Endoscopy; Endoscopic retrograde cholangiopancreatography; Endoscopic nasobiliary drainage; Endoscopic sphincterotomy ......
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