内镜逆行胰胆管造影术在胆胰疾病中的应用。

Application of endoscopic retrograde cholangiopancreatography in biliary-pancreatic diseases.

机构信息

Department of Gastroenterology, Yantai Yuhuangding Hospital Affiliated to Medical College of Qingdao University, Yantai, Shandong 264000, China.

出版信息

Chin Med J (Engl). 2009 Dec 20;122(24):2967-72.

PMID:20137483

Abstract

BACKGROUND

Endoscopic retrograde cholangiopancreatography (ERCP) has been used increasingly for the treatment of choledocholithiasis, gallstone pancreatitis, and benign or malignant bile duct or pancreatic duct stenosis. The purpose of this study was to evaluate ERCP for the diagnosis and therapy of biliary-pancreatic diseases.

METHODS

A total of 2075 patients who underwent diagnostic and therapeutic ERCP from June 2001 to March 2009 were analyzed retrospectively. Achievement and complication rates were calculated, and the therapeutic effect was observed.

RESULTS

In all the 64 cases who underwent diagnostic ERCP, the procedure was successful, in 2011 cases therapeutic ERCP was performed, and the success rate was 94.6%. In the therapeutic ERCP cases, 1434 (93.0%) were successful among the 1542 cases of choledocholithiasis, and 422 (90.0%) of the 469 cases with benign or malignant bile duct or pancreatic duct stenosis, or acute obstructive suppurative cholangitis with stent placement or endoscopic nasobiliary drainage were successful. Fifty-nine (90.8%) cases of the 65 who underwent a pre-cut for pancreatic sphincterotomy were successful. Complication rate was 5.1% and the most frequent complication was acute pancreatitis (4.4%).

CONCLUSIONS

ERCP is one of the major diagnostic and therapeutic methods for biliary-pancreatic disease. Therapeutic ERCP is a minimally invasive, safe and effective treatment method for various biliary-pancreatic diseases.

摘要

背景

内镜逆行胰胆管造影术（ERCP）已越来越多地用于治疗胆总管结石、胆源性胰腺炎以及良性或恶性胆管或胰管狭窄。本研究旨在评估 ERCP 对胆胰疾病的诊断和治疗价值。

方法

回顾性分析 2001 年 6 月至 2009 年 3 月期间 2075 例行诊断和治疗性 ERCP 的患者。计算成功率和并发症发生率，并观察治疗效果。

结果

在 64 例行诊断性 ERCP 的患者中，所有操作均成功。2011 例患者行治疗性 ERCP，成功率为 94.6%。在治疗性 ERCP 中，1542 例胆总管结石患者中有 1434 例（93.0%）成功，469 例良性或恶性胆管或胰管狭窄或急性梗阻性化脓性胆管炎患者中有 422 例（90.0%）成功放置支架或经内镜鼻胆管引流。65 例行括约肌预切开术的患者中有 59 例（90.8%）成功。并发症发生率为 5.1%，最常见的并发症是急性胰腺炎（4.4%）。