| 白宁 臧凤莉 朱孟华 刘爱国 史立军.ERCP 治疗急性胆源性胰腺炎[J].,2015,15(5):957-959 |
| ERCP 治疗急性胆源性胰腺炎 |
| Therapy of ERCP in Acute Biliary Pancreatitis |
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| DOI： |
| 中文关键词: ERCP 胆源性胰腺炎 胰腺炎 |
| 英文关键词: ERCP Biliary pancreatitis Pancreatitis |
| 基金项目:黑龙江省公关课题(WB07C04) |
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| 中文摘要: |
| 急性胆源性胰腺炎（ ABP）是消化内 科常见急腹症之一， 是急性胰腺炎中最常见的类型， 占 急性胰腺炎每年发病人数的 40%
-60%，病死率较高， 常规药物治疗不能从根本上解除病因 ， 易导致复发， 手术治疗风险较大， 创伤较大， 费用 较高， 住院时间 较长，
易引 起其术后并发症， 不利于患者恢复。而经内 镜逆行胰胆管造影（ ERCP）作为一种内 镜与 放射技术相结合的诊断治疗方法，对
胆管内 结石并发急性胰腺炎的诊断率是最高的，诊断结石的敏感性大于 95 %。 在 20 世纪 70 年代被认为是急性胆源性胰腺炎的
禁忌症，近年来随着 ERCP 技术的不断发展和广泛应用， ERCP 已成为 治疗胆胰疾病的一种安全有效的技术。 ERCP 可清除胆管结
石， 从而达到 通畅胆道， 减少胆汁向胰管反流， 迅速改善患者病情， 阻断病情进展的目 的， 并有效缩短住院时间， 减轻患者痛苦， 减
少复发和改善总体预后， 为广大 ABP 患者带来了 福音，此外，还能减少患者住院费用， 节省医疗资源，对于个人及社会均具有积极
意义， 值得推广。 |
| 英文摘要: |
| Acute biliary pencreatit, the most common type of acute pancreatitis, is one of the acute abdomen in department of
gastroenterology. Acute biliary pancreatitis accounts for 40% to 60% of the population every year, and its fatality rate is high. Conventional drug therapy can not relieve etiology fundamentally, and easy to relapse. Compared to Surgical treatment, it has a bigger risk, larger
trau- ma, higher cost, longer hospital stay, higher possibility of postoperative complications, which goes against patients recovery. As a
method combining endoscope with radiography, the diagnosis rate of bile duct stone with acute pancreatitis is the highest, and the sensitivity of diagnosis to stone is more than 95%. In the 1970s, endoscopic retrograde cholangiopancreatography(ERCP) was considered to be
contraindications ofacute gallstone pancreatitis. In recent years, with the development oftechnology and the widespread application, ERCP
has become a safe and effective technology in the diagnosis and therapy in pancreatic and biliary diseases. ERCP can remove bile duct
stones, then open biliary tract, reduce the bile reversing flow to pancreatic duct, rapidly improve patients' condition and break off illness
development, ERCP could also shorter hospital stay effectively and reduce pain in patients, reduce the recurrence and improve the overall
outcome, the technology has brought the Gospel for the majority of patients with ABP. In addition, ERCP can reduce the patients in hospital costs, save medical resources, have positive significance for individuals and society all, so it is worth popularizing. |
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