摘要
目的 分析拉萨地区(ERCP)术后发生胰腺炎(PEP)、高淀粉酶血症(PEHA)患者的危险因素.方法 选取2018年1月～2021年1月我院行ERCP的患者414例.将术后发生PEP设为观察组(97例)、将PEHA设为对照组(317例).分析两组一般资料、辅助检查、手术操作信息与PEP、PEHA的关系.结果 本研究PEP发生率9.4％,PEHA发生率14％;影响PEP发生的危险因素:有年龄＜60岁、女性、内镜乳头括约肌切开(EST)、术后24h白细胞计数(WBC).结论 需严格掌握ERCP适应症,识别高危患者,早期予以预防措施,减少PEHA向PEP转变、减少重度PEP的发生.
Abstract
Objective To analyze the risk factors of post-ERCP pancreatitis(PEP)and hyperamylasemia(PEHA)in Lhasa region.Methods A total of 414 patients who underwent ERCP in our hospital from January 2018 to January 2021 were selected.The patients with PEP after surgery were set as the observation group(97 cases),and the patients with PEHA were set as the control group(317 cases).The relationship between general data,auxiliary examination,surgical operation information and PEP,PEHA of the two groups was analyzed.Results The incidence of PEP and PEHA was 9.4％and 14％,respectively.The risk fac-tors of PEP included age＜60 years,female,endoscopic sphincterotomy(EST)and 24h postoperative white blood cell count(WBC).Conclusion The indications of ERCP should be strictly controlled,the high-risk patients should be identified,and early preventive measures should be taken to reduce the conversion of PEHA to PEP and the occurrence of severe PEP.
维普
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