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目的评价急性胆源性胰腺炎患者早期行内镜逆行胰胆管造影(ERCP)治疗的安全性和临床疗效。方法对58例急性胆源性胰腺炎住院患者,早期行ERCP检查和治疗,观察其疗效和并发症,评价急性胆源性胰腺炎患者内镜治疗的安全性和疗效。结果本组58例患者均治愈,无严重并发症发生,未见因ERCP检查和治疗而使病情加重者。结论早期内镜治疗急性胆源性胰腺炎具有微创、安全有效、快速解除胆道急性梗阻及防止胆汁胰管反流的特点,可使急性胆源性胰腺炎和临床怀疑为胆源性胰腺炎的患者得到及时正确的诊治,以阻止病情进一步向重型发展。
Objective To evaluate the safety and clinical efficacy of early endoscopic retrograde cholangiopancreatography (ERCP) in patients with acute gallstone pancreatitis. Methods 58 cases of acute gallstone pancreatitis hospitalized patients, early ERCP examination and treatment, observation of its efficacy and complications, evaluation of acute biliary pancreatitis endoscopic treatment of safety and efficacy. Results The group of 58 patients were cured, no serious complications occurred, no exacerbations due to ERCP examination and treatment. Conclusion Early endoscopic treatment of acute biliary pancreatitis with minimally invasive, safe and effective, quickly relieve the acute obstruction of the biliary duct and prevent reflux of bile duct can make acute biliary pancreatitis and clinical suspected biliary pancreatitis Of patients get timely and correct diagnosis and treatment, to prevent the further development of the disease to heavy.