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目的探讨应用思他宁联合早期内镜治疗急性胆源性胰腺炎(AGP)的疗效。方法应用思他宁联合早期逆行胰胆管造影术(ERCP)、经内镜鼻胆管引流(ENBD)及经内镜乳头括约肌切开(EST)治疗AGP30例,其中轻症胰腺炎25例,重症胰腺炎5例。结果治愈30例,1例重症胰腺炎内镜治疗后转外科手术治疗。结论思他宁联合内镜治疗AGP是安全和有效的,对明确诊断AGP者应及早用思他宁及内镜介入治疗。
Objective To investigate the curative effect of simvastatin combined with early endoscopic treatment of acute gallstone pancreatitis (AGP). Methods Thirty patients with AGP were treated with statinin combined with early retrograde cholangiopancreatography (ERCP), endoscopic nasobiliary drainage (ENBD) and endoscopic sphincterotomy (EST), of which 25 were mild pancreatitis Inflammation in 5 cases. The results were cured in 30 cases, 1 case of severe pancreatitis after endoscopic treatment of surgical treatment. Conclusion Stilamin in combination with endoscopic treatment of AGP is safe and effective, and for the diagnosis of AGP should be early with statin and endoscopic intervention.