急性胆源性胰腺炎内镜治疗的临床分析

摘要

Objective To study the cliniral efficacy of endoscopic treatment ior acute biliary pancrea-titis( ABP). Methods 165 ABP patients in our hospital from March 2009 to February 2011 were divided into two groups based on the principle of voluntariness,98 cases in the endoscopic group, which received conventional medical therapy alter endoscopic treatment; 67 cases in the control group, which received emergency operation or conservative therapy alter the routine medical therapy. Abdominal pain remission time, average hospitalization time, complications, and blood, urine amylase changes after treatment oi the two groups were observed. Results 90 cases( 91.8% )were cured in endoscopic treatment group,and 44 cases ( 65.7% )in the control group. Thedifference has statistical significance( P ＜ 0. 05 ). blood,urine amylase decrease oi endoscopic group 3 days alter treatment : as better than the control group, with statistically sig-niiicant difference( P ＜ 0. 05 ). Abdominal pain relief time, hospitalization time of endoscopic group were less than those oi the control group with statistically significant difference( P ＜ 0. 05 ). Conclusion Endoscopic treatment for ABP has the advantages of fast postoperative abdominal pain relief and short hospitalization time,and can effectively reduce the incidence oi complications.%目的 探讨急性胆源性胰腺炎(ABP)内镜治疗的临床疗效.方法 将我院2009年3月至2011年2月收治的165例ABP患者随机分为两组,内镜组98例,在常规内科综合治疗后行内镜治疗;对照组67例,在常规内科综合治疗后行急诊手术或保守疗法.观察两组患者治疗后腹痛缓解时间、平均住院时间、并发症及血、尿淀粉酶的变化情况.结果内镜组治愈90例(91.8%),对照组治愈44例(65.7%),两组治愈率比较差异有统计学意义(P＜0.05).两组患者术后血、尿淀粉酶水平比较,内镜组术后3 d血、尿淀粉酶下降优于对照组,差异有统计学意义(P＜0.05);内镜组腹痛缓解时间、住院时间均少于对照组,差异有统计学意义(P＜0.05).结论 利用内镜治疗ABP具有术后腹痛缓解快、住院时间短的优势,同时能有效降低术后并发症.