肝胆胰外科杂志2012，Vol.24Issue(4)：278-280,285,4.
急诊ERCP在急性胆源性胰腺炎治疗中的应用
Application of emergency therapeutic endoscopic retrograde cholangio-pancreatography (ERCP) in patients with acute biliary pancreatitis
刘玉杰 1龚飞跃 2江堤 1苏剑东 1黄友明 1李学谦 1孙贤久 1麦海珠 1杨巧玲 1廖秀敏1
作者信息
- 1. 广东省东莞东华医院消化内科,广东东莞523110
- 2. 珠海市人民医院消化内科,广东珠海519000
- 折叠
摘要
Abstract
Objective To explore the function and role of emergency therapeutic endoscopic retrograde cholangio-pancreatography (ERCP) on patients with acute biliary pancreatitis. Methods Ninety-two patients with acute biliary pancreatitis were studied and analyzed retrospectively. The patients were divided into two groups; the ERCP group of 52 patients who underwent emergency therapeutic ERCP, and the N-ERCP group of 40 patients who underwent traditional treatment without emergency ERCP. The way is to observe and record the occurrence rate of the common bile duct stones, especially microlithiasis or biliary sludge, in the ERCP group, More, the occurrence of severe pancreatitis, the relief time of abdomianl pain and the serum biochemical changes of these patients were also analyzed and compared between the two groups. Results In the ERCP group, 49 (94.2%) patients with acute biliary pancreatitis successfully received ERCP combined with endoscopic sphincterotomy and swept the common bile duct by balloon catheter- Six patients (11.5%) in the ERCP group were found with microlithiasis or biliary sludge in common bile duct. The rate of occurrence of severe pancreatitis in the ERCP group was much lower than that in the N-ERCP group, which respectively was 5.8%(3/52) and 20% ( 8/40 ). In addition, compared with the N-ERCP group, the relief time of abdomianl pain was shorter in the ERCP group. Consequently, after 3 days' operation in the ERCP group, the serum amylase (AMY), total bilirubin (TBIL), glutamyl transferase (GGT) and alanine aminotransferase (ALT) of 49 patients decreased significantly. Conclusion Emergency therapeutic ERCP can markedly reduce the risk of developing to severe acute pancreatitis.
关键词
急性胆源性胰腺炎/急诊ERCP/微小结石Key words
acute biliary pancreatitis/ emergency therapeutic endoscopic retrograde cholangio-pancreatography/ microlithiasis分类
医药卫生引用本文复制引用
刘玉杰,龚飞跃,江堤,苏剑东,黄友明,李学谦,孙贤久,麦海珠,杨巧玲,廖秀敏..急诊ERCP在急性胆源性胰腺炎治疗中的应用[J].肝胆胰外科杂志,2012,24(4):278-280,285,4.
