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目的:探讨逆行胰胆管造影(ERCP)及十二指肠乳头切开取石术(EST)患者预防继发性胰腺炎。方法:对照组(传统方法)50例,实验组(导丝疏通法)50例。结果:对照组ERCP联合EST术后并发急性胰腺炎占6%,7例无症状高淀粉酶血症患者占14%。实验组未并发急性胰腺炎。两组比较P<0.01有统计学差异。结论:急性胰腺炎是ERCP联合EST术后常见并发症,保证引流管引流通畅,可防止急性胰腺炎的发生。
Objective: To investigate the prevention of pancreatitis secondary to pancreaticobiliary pancreatitis by retrograde cholangiopancreatography (ERCP) and duodenal papillatectomy (EST). Methods: 50 cases of control group (traditional method), 50 cases of experimental group (guide wire clear method). Results: In the control group, ERCP combined with EST accounted for 6% of acute pancreatitis and 7 cases of asymptomatic hyper amylase accounted for 14%. Experimental group was not complicated by acute pancreatitis. There was significant difference between two groups (P <0.01). Conclusion: Acute pancreatitis is a common complication of ERCP and EST, which ensures drainage of drainage tube and prevents the occurrence of acute pancreatitis.