摘要
目的 总结内镜、腹腔镜序贯治疗急性胆源性胰腺炎的临床效果。 方法 我院 2 0 0 0年3月～ 2 0 0 3年 6月收治急性胆源性胰腺炎 5 4例。入院后 2 4h内 5 4例行经内镜逆行性胰胆管造影(ERCP)及取石术 ,7例因Oddi括约肌狭窄加行EST。所有患者均放置鼻胆管引流 ,待胰腺炎恢复后 ,5 3例施行腹腔镜胆囊切除术 (LC) ,其中 2例中转开腹 ;1例因胰周脓肿行开腹胆囊切除 ,胰周坏死组织清除。 结果 未发生与内镜操作有关的严重并发症及手术并发症。随访 6个月～ 3年 ,无胰腺炎复发。 结论 早期内镜治疗急性胆源性胰腺炎安全有效 ,待胰腺炎缓解后 ,序贯应用LC ,可体现微创手术的优点 ,不失为目前较理想的治疗方法。
Objective To investigate the value of endoscopic nasobiliary drainage sequented with laparoscopic cholecystectomy for acute biliogenic pancreatitis. Methods 54 cases of acute biliogenic pancreatitis were analyzed retrospectively. All cases accepted ERCP and ENBD. 7 cases were performed EST for biliogenic stenosis. Laroscopic cholecystectomy(LC) were performed in 53 cases, but 2 cases conversed to laparotomy. One patient of peripancreatic abscess received cholecystectomy and necrotic tissue clearance. Results No severe complications relative to endoscopic procedure occurred. During 6 months to 3 years follow-up, no pancreatitis relapsed. Conclusions It is safe and effective to treat acute biliogenic pancreatitis with ERCP and ENBD in early stage. ERCP and ENBD sequented with laparoscopic cholecystectomy may be a good therapy with advance of microtrauma for acute biliogenic pancreatitis.
出处
《中国现代手术学杂志》
2004年第2期68-70,共3页
Chinese Journal of Modern Operative Surgery
