摘要
Abstract
Objective To evaluate the efficacy and safety of the therapeutic alliance of endoscopic retrograde cholangiopancreatography (ERCP) plus endoscopic sphincterotomy(EST) in the treatment of acute biliary pancreatitis (ABP). Methods 58 patients diagnosed as ABP were randomly assigned to receive ERCP plus EST (n=29, study group) or the regimen of general conventional treatment (n =29, control group). In the study group, the patients received ERCP plus EST on the base of general conventional treatment. In the control group, the patients received general conventional treatment unless the operations were necessary for the complications such as biliary tract obstruction, perforation, pancreatic abscess or pseudocyst. Results It showed statistically significant differences(P <0.05) in the study group and the control group, of the duration time of abdominal pain relief (5. 21 ±2.08) d vs. ( 13.56 ±6.28)d, the duration of hemodiastase recovery (7.66± 4.15)d vs. ( 12.32+5.81)d, hospital stay( 18.42±5.73)d vs. (26. 12 ± 12. 15) d, cost of hospitalization (1.86 ± 1. 15) × 104 RMB vs. (5. 46 ± 2. 37) × 104 RMB, complication rate 6. 90% (2/29) vs. 34. 48% (10/29) and the mortality rate 6.90% (2/29) vs. 27. 59% (8/29). Conclusion It is safe and effective of the combined treatment of ERCP plus EST for the ABP patients in the early stage.
关键词
胰胆管造影术,内窥镜逆行/括约肌切开术,内窥镜/胰腺炎Key words
cholangiopancreatography, endoscopic retrograde/ sphincterotomy,endoscopic/ pancreatitis分类
医药卫生
