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多次行经内镜逆行胰胆管造影患者的临床特点分析
Clinical characteristics of patients treated with multiple therapeutic ERCP procedures
文章发布日期:2015年09月06日  来源:  作者:王继恒,何玉琦,高革  点击次数:1117次  下载次数:297次

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【摘要】:目的对多次行经内镜逆行胰胆管造影(ERCP)患者的临床特点进行分析,评估重复的原因、安全性和有效性。方法收集2010年7月-2014年12月在北京军区总医院进行≥2次ERCP患者的临床资料,对其治疗结果、并发症和术后转归情况进行分析。结果77例患者共完成187次ERCP,其中60例完成2次ERCP,6例完成3次ERCP,8例完成4次ERCP,2例完成5次ERCP,1例完成7次ERCP。2例发生内镜下十二指肠乳头括约肌切开术后大出血,2例发生ERCP术后胰腺炎,1例发生十二指肠穿孔,2例在术后3周内因慢性阻塞性肺疾病死亡。结论胆总管结石的反复发作、胆管炎性狭窄、慢性胰腺炎、恶性肿瘤患者生存期的延长是患者反复多次行ERCP的原因,超过80岁的高龄患者有更高地重复行ERCP几率。多次行ERCP的整体安全性和有效性良好。
【Abstract】:ObjectiveTo analyze the clinical characteristics of patients treated with multiple therapeutic endoscopic retrograde cholangiopancreatography (ERCP) procedures and to evaluate the causes, safety, and efficacy of repeated ERCP. MethodsAnalyses of therapeutic results, complications, and postoperative outcomes were performed on the clinical data of the patients who were admitted to Beijing Army General Hospital and received ERCP at least twice from July 2010 to December 2014. ResultsSeventy-seven patients underwent 187 times of ERCP procedures in total, among which 2 times were performed in 60 patients, 3 times in 6 patients, 4 times in 8 patients, 5 times in 2 patients, and 7 times in 1 patient. Postoperative events included hemorrhea after endoscopic sphincterotomy in 2 cases, post-ERCP pancreatitis in 2 cases, duodenal perforation in 1 case, and death within 3 weeks after ERCP in 2 cases due to chronic obstructive pulmonary disease. ConclusionRecurrent common bile duct stones, inflammatory stenosis of the bile duct, chronic pancreatitis, and prolonged survival of malignant tumor patients are the main reasons for repeated ERCP. The patients aged over 80 years are more likely to undergo multiple ERCP procedures. Repeated ERCP shows good overall safety and efficacy.
【关键字】:胰胆管造影术,内窥镜逆行;胆道疾病;胰腺疾病
【Key words】:cholangiopancreatograthy, endoscopic retrograde; biliary tract diseases; pancreatic diseases
【引证本文】:王继恒, 何玉琦, 高革. 多次行经内镜逆行胰胆管造影患者的临床特点分析[J]. 临床肝胆病杂志, 2015, 31(10): 1645-1647.

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