首页|ERCP联合LC治疗急性胆源性胰腺炎疗效及手术时机的选择效果

ERCP联合LC治疗急性胆源性胰腺炎疗效及手术时机的选择效果

Efficacy of ERCP Combined with LC in the Treatment of Acute Biliary Pancreatitis and the Selection of Surgical Timing

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目的:分析经内镜逆行胰胆管造影(ERCP)与腹腔镜下胆囊切除术(LC)治疗急性胆源性胰腺炎患者的临床效果.方法:选取2021年5月~2023年5月本院收治的92例急性胆源性胰腺炎患者进行研究,并采取随机双盲法将其分为对照组和观察组,各46例.给予对照组腹腔镜下胆囊切除术+胆管探查取石术,观察组实施ERCP取石+二期腹腔镜胆囊切除术,对比两组疗效.结果:观察组手术时间(54.26±8.64)min高于对照组的(45.41±6.52)min(P<0.05);观察组术后肠鸣音恢复时间、住院时间、IL-6水平、hs-CRP水平分别为(10.26±1.93)h、(3.41±0.62)d、(60.62±5.84)pg/mL、(20.13±1.84)mg/L低于对照组的(13.89±2.55)h、(4.18±0.54)d、(68.98±6.95)pg/mL、(24.58±2.43)mg/L(P<0.05);观察组并发症发生率为3.22%低于对照组的12.90%(P<0.05);观察组术后12h、3d、7d疼痛评分分别为(4.62±0.81)分、(3.35±0.62)分、(2.03±0.46)分低于对照组的(5.57±0.54)分、(4.18±0.73)分、(3.16±0.78)分(P<0.05);观察组患者对切口美观满意度为93.54%高于对照组的70.96%(P<0.05).结论:急性胆源性胰腺炎患者使用经内镜逆行胰胆管造影联合腹腔镜下胆囊切除术治疗,效果显著,安全性高.
Objective:To analyze the clinical results of endoscopic retrograde cholangiopancreatography(ERCP)and laparoscopic cholecystectomy(LC)in patients with acute biliary pancreatitis.Methods:92 patients with acute biliary pancreatitis from May 2021 to May 2023 were selected and divided into control group and observation group by randomized double-blind method.The laparoscopic cholecystectomy was given to the control group,and the observation group was treated with laparoscopic cholecystectomy to compare the efficacy of the two groups.Results:The operation time in the observation group was(54.26±8.64)min higher than that in the control group(45.41±6.52)min(P<0.05);The recovery time,length of stay,IL-6 level and hs-CRP level were(10.26±1.93)h,(3.41±0.62)d,(60.62±5.84)pg/mL,(20.13±1.84)mg/L below the(13.89±2.55)h,(4.18±0.54)d,(68.98±6.95)pg/mL,(24.58±2.43)mg/L(P<0.05)in the observation group;The incidence of complications in the observation group was 3.22%,which was lower than the 12.90%in the control group(P<0.05);The pain scores of the observation group at 12 hours,3 days,and 7 days after surgery were(4.62±0.81)points,(3.35±0.62)points,and(2.03±0.46)points,respectively,which were lower than those of the control group(5.57±0.54)points,(4.18±0.73)points,and(3.16±0.78)points(P<0.05);Satisfaction with the incision aesthetics of the observation group was 93.54%higher than 70.96%in the control group(P<0.05).Conclusion:Patients with acute biliary pancreatitis are treated with endoscopic retrograde cholangiancreatography combined with laparoscopic cholecystectomy and safe.

transendoscopic retrograde cholangiopancreatographylaparoscopic cholecystectomyacute biliary pancreatitiscurative effect

王君

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天津市北辰医院 (天津 300400)

经内镜逆行胰胆管造影 腹腔镜下胆囊切除术 急性胆源性胰腺炎 疗效

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(18)