中国内镜杂志2012，Vol.18Issue(2)：169-172,4.
内镜逆行胰胆管造影诊疗术相关肠穿孔的临床分析
Clinical analysis of the intestinal perforation related to ERCP
梁运啸 1梁列新 1农兵 1张国 1卓文金 1潘咏 1王彩英 1覃惠庆1
作者信息
- 1. 广西壮族自治区人民医院消化内科,广西南宁530021
- 折叠
摘要
Abstract
[Objectives] To put emphasis on the associated risk factors in order to improve the operating technique and to make sure clinical safety while performing diagnosis and treatment with ERCP. [Methods] A retrospective analysis on the risk factors for ERCP-related intestinal perforation was based on clinical data from our hospital as well as domestic medical publications. [ Results ] Accumulative intact record has shown that 68 cases of intestinal perforation took place among 31, 184 cases in-patients who accepted ERCP treatment, with an incidence rate of 0.22%. The distribution of perforation included bulb, descending, input, output, nipple and other unknown area. The risk factors of perforation were associated with EST in 32 cases, the guide wire insertion duct in 14 cases, lens body straightening in 13 cases, inserts in 7 cases, type IⅡ after completion in 4 cases, spinal deformity in 2 cases, stands in 2 cases, 1 case with unknown causes as well. [Conclusions] The major risk factors for ERCP-related intestinal perforation are therapeutic ERCP, improper operations, unconventional operations and spinal deformity. With regard to reduce the incidences of ERCP-related duodenal perforation, it is very important to evaluate such preoperative risk factors as far as possible, in particular to follow up meticulous and standard operating guideline.关键词
内镜逆行胰胆管造影/并发症/肠穿孔Key words
endoscopic retrograde cholangiopancreatography/ complications/ intestinal perforation分类
医药卫生引用本文复制引用
梁运啸,梁列新,农兵,张国,卓文金,潘咏,王彩英,覃惠庆..内镜逆行胰胆管造影诊疗术相关肠穿孔的临床分析[J].中国内镜杂志,2012,18(2):169-172,4.
