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[目的] 观察内镜介入联合清胰利胆中药治疗急性胆源性胰腺炎的临床疗效。[方法] 经B超、CT、逆行胰胆管造影(ERCP)明确诊断的急性胆源性胰腺炎30例,经ERCP明确胆道梗阻部位及性质后,经奥狄括约肌切开术(EST)取石或鼻胆管引流术(ENBD),术后给予清胰利胆中药。[结果] ENBD成功率100%,治疗后黄疸、血淀粉酶及发热、腹痛迅速消退,30例胰腺炎全部治愈。[结论] 内镜介入并清胰利胆中药治疗急性胆源性胰腺炎安全、有效、可靠。
[Objective] To observe the clinical effect of endoscopic intervention combined with Qingyi Liguan Chinese medicine in the treatment of acute gallstone pancreatitis. [Method] Thirty patients with acute gallstone pancreatitis diagnosed by B-mode ultrasonography, computed tomography and retrograde cholangiopancreatography (ERCP) were enrolled in this study. The sites and properties of biliary obstruction were identified by ERCP, Nasobiliary drainage (ENBD), postoperative Qingyi gallbladder medicine. [Results] The success rate of ENBD was 100%. After treatment, jaundice, blood amylase, fever and abdominal pain subsided rapidly, and 30 cases of pancreatitis were completely cured. [Conclusion] It is safe, effective and reliable that endoscopic intervention and Qingyi gallbladder Chinese medicine in the treatment of acute gallstone pancreatitis.