论文部分内容阅读
目的:分别从血淀粉酶水平及急性胰腺炎发生率两方面评价内镜下鼻胆管引流、胰管支架植入对内镜逆行胰胆管造影（ERCP）术后胰腺炎的防治作用。方法:对2014年10月1日至2015年8月1日共150例于我院行ERCP的病人进行回顾性分析总结。病人随机分为三组，鼻胆管引流组50例，胰管支架植入组50例，对照组50例，分别比较三组病人术后4小时及24小时血淀粉酶的水平有无差异性并观察急性胰腺炎的发生率。结果:术后治疗组较对照组4小时及24小时血淀粉酶水平、急性胰腺炎发生率均显著低于对照组（p＜0.05），但治疗组间血淀粉酶水平及急性胰腺炎发生率无显著性差异（p＞0.05）。结论;内镜下鼻胆管引流和胰管支架植入对ERCP术后血淀粉酶水平及急性胰腺炎的发生率均有很好的防治作用。
Objective: To evaluate the prevention and treatment of pancreatitis after endoscopic retrograde cholangiopancreatography (ERCP) by endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic retrograde cholangiopancreatography (ERCP) drainage from the aspects of serum amylase level and the incidence of acute pancreatitis. Methods: A total of 150 patients with ERCP in our hospital from October 1, 2014 to August 1, 2015 were retrospectively analyzed and summarized. Patients were randomly divided into three groups, 50 cases of nasobiliary drainage group, 50 cases of pancreatic duct stenting group, 50 cases of control group, respectively, three groups of patients after 4 hours and 24 hours after the blood amylase levels were no difference Observe the incidence of acute pancreatitis. Results: Compared with the control group, the levels of serum amylase and acute pancreatitis in the treated group were significantly lower than those in the control group at 4 and 24 hours (p <0.05), but the levels of serum amylase and the incidence of acute pancreatitis No significant difference (p> 0.05). Conclusions: Endoscopic nasobiliary drainage and pancreatic duct stenting have a good preventive and therapeutic effect on the level of serum amylase and the incidence of acute pancreatitis after ERCP.