| 引用本文： |
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黄志刚,刘有理,王义文,等.治疗性ERCP138例临床分析[J].同济大学学报（医学版）,2013,34(2):65-67. [点击复制]
- HUANG Zhi-gang,LIU You-li,WANG Yi-wen,et al.ERCP surgery in treatment of biliary and pancreatic diseases：an analysis of 138 cases[J].Journal of Tongji University(Medical Science),2013,34(2):65-67. [点击复制]
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| 摘要: |
| 目的分析探讨治疗性内镜逆行胰胆管造影术（endoscopicretrogradecholangiopancreatography，ERCP）在胆胰疾病中的应用价值。方法对138例经ERCP治疗的病例（治疗组）进行统计学分析，其中内镜下十二指肠乳头括约肌切开术（endoscopicsphinctcrotomy，EST）117例，经内镜胆总管支架置入（endoscopicretrobiliarydrainage，ERBD）18例。同期取30例本院外科开腹胆管切开取石术患者作为对照组，就手术前后血清总胆红素水平、术后腹痛症状缓解情况及开放饮食天数、总住院天数、人均费用等因素进行t检验。结果治疗性ERCP成功率135/138（97.8%），其中单发结石42例，多发结石75例，胆管狭窄14例，慢性胰腺炎胰管狭窄3例，胰腺分裂症1例，壶腹部占位3例，并发症率6/138（4.35%）。两组术前总胆红素差异无统计学意义（P＜0.05），术后腹痛症状缓解情况及开放饮食天数、总住院天数、人均费用差异均有统计学意义（P＜0.05）。结论治疗性ERCP对于胆胰管疾病是有效的微创治疗手段，并能够替代部分外科手术。 |
| 关键词: 治疗性ERCP 胆胰管疾病 微创医学 |
| DOI：10.3969/j.issn1008-0392.2013.02.016 |
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| ERCP surgery in treatment of biliary and pancreatic diseases：an analysis of 138 cases |
| HUANG Zhi-gang,LIU You-li,WANG Yi-wen,WANG Guang-ming,ZHOU Zheng,ZHU Ming-feng |
| (Dept. of Gastroenterology, Xuancheng Peopleg Hospital, Xuancheng 242000, Anhui Province, China) |
| Abstract: |
| Objective To evaluate the application of therapeutic endoscopic retrograde cholangiopancreatography （ERCP） in treatment of biliary and pancreatic diseases. Methods Clinical data of 138 patients with biliary and pancreatic diseases treated with ERCP, including 117 cases with endoscopic sphincterotomy （EST） and 18 cases with endoscopic retrograde pancreatic drainage （ERPD）, were retrospectively analyzed. Thirty patients treated with conventional surgery in the same period served as controls. The serum total bilirubin levels before and after surgery, postoperative abdominal pain, postoperative days of open diet, length of hospital stay, the medical cost were analyzed. Results Among 135 cases there were 42 cases of single stone, 75 cases of multiple stones, 14 cases of bile duct stricture, 3 cases of pancreatic duct stenosis, 1 case of pancreatic schizophrenia and 3 cases of space-occupying lesion at ampulla. The success rate of therapeutic ERCP was 97.8% （135/138） and the complication rate was 4.35% （6/138）. The postoperative days of open diet,length of hospital stay were shorter and the medical cost was lower in ERCP group than those group （P＜0.05 ）.Conclusion The therapeutic ERCP is an effective minimally invasive treatment for biliary and pancreatic diseases. |
| Key words: therapeutic endoscopic retrograde cholangiopancreatography biliary and pancreatic diseases minimally invasive |
