内科理论与实践2025，Vol.20Issue(3)：198-203,6.DOI:10.16138/j.1673-6087.2025.03.03
内镜逆行胰胆管造影术在青少年慢性胰腺炎及并发症治疗中的应用
Application of endoscopic retrograde cholangiopancreatography in treatment of adolescent patients with chronic pancreatitis and complications
摘要
Abstract
Objective To explore the clinical application value of endoscopic retrograde cholangiopancreatography(ERCP)in the treatment of chronic pancreatitis and its complications in adolescents.Methods The clinical data of 104 adolescent patients with chronic pancreatitis and complications who were admitted to the Department of Gastroenterology,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine from January 2023 to December 2024 were collected and a retrospective analysis was conducted.The patients were divided into the ERCP group(receiving ERCP treatment)and the control group(receiving conventional treatment)based on the treatment methods.The treatment effects,safety indicators,recurrence rates within six months,and scores of quality of life were compared between the two groups.Results There were 68 cases in the ERCP group and 36 cases in the control group.The two groups showed no significant differences in age,disease characteristics,and pre-treatment visual analogue scale(VAS)scores(P=0.080,0.386,and 0.185,respectively),while the difference in 12-item short form health survey(SF-12)scores before treatment were significant(P=0.025).Before treatment,the VAS scores of the two groups were 6.63±1.74 and 6.26±1.08,respectively(P>0.05).After treatment,the VAS score in the ERCP group(2.57±0.64)was significantly lower than that in the control group(4.63±0.79)(P<0.001).Before treatment,the SF-12 scores of the two groups were 44.57±8.09 and 49.36±11.02,respectively(P>0.05);after treatment,the SF-12 score in the ERCP group(84.65±9.27)was significantly higher than that in the control group(69.16±7.75)(P<0.001).In addition,the recurrence rates within six months were 14.08％(ERCP group)and 36.11％(control group),and complication rates were 1.47％(ERCP group)and 8.33％(control group),which showed significant differences.Conclusions For adolescent patients with cholangiopancreatography and its complications,ERCP(especially pancreatic duct stone removal and stent placement)effectively alleviates clinical symptoms,improves quality of life,and shows high success rates with a low incidence of complications.关键词
胰管结石取出术/胰管支架置入术/胰腺炎疼痛缓解/青少年患者Key words
Pancreatic duct stone removal/Stent placement/Pain relief in pancreatitis/Adolescent patients分类
医药卫生引用本文复制引用
黄云,别理克·扣肯,黄佳,姚玮艳,朱颖..内镜逆行胰胆管造影术在青少年慢性胰腺炎及并发症治疗中的应用[J].内科理论与实践,2025,20(3):198-203,6.基金项目
2023年度青海大学青年科研基金医学类项目[2023-QYY-5] （）
