【摘要】：目的對比B超引導(dǎo)下與傳統(tǒng)介入放射下進行的經(jīng)內(nèi)鏡逆行性胰膽管造影(ERCP)術(shù)的療效。方法選取接受ERCP術(shù)治療的30例膽管結(jié)石患者為研究對象,收住院后進行ERCP和內(nèi)鏡下乳頭括約肌切開術(shù)(EST)取石和自膨式金屬支架治療(EMBE)。根據(jù)顯影方式不同分為超聲組和對照組各15例,比較兩組患者的成功率與并發(fā)癥發(fā)生率、操作和恢復(fù)情況及炎癥反應(yīng)指標(biāo)。結(jié)果兩組患者的ERCP術(shù)成功率均為100%,差異無統(tǒng)計學(xué)意義(P0.05);超聲組膽管損傷、胰管損傷和乳頭肌損傷的發(fā)生率明顯低于對照組(P0.05);超聲組的操作時間、術(shù)后黃疸消退時間、術(shù)后高熱消退時間以及臥床時間均短于對照組(P0.05),血清C反應(yīng)蛋白(CRP)、腫瘤壞死因子(TNF)-α、降鈣素原(PCT)、白細胞介素(IL)-6、IL-10含量低于對照組(P0.05)。結(jié)論 B超引導(dǎo)下的ERCP術(shù)能夠取得與傳統(tǒng)介入放射下ERCP術(shù)相同的成功率,且有助于降低并發(fā)癥的發(fā)生率,縮短操作時間,促進術(shù)后恢復(fù),緩解炎癥反應(yīng),是更為理想的ERCP術(shù)方式。
[Abstract]:Objective to compare the efficacy of endoscopic retrograde cholangiopancreatography (ERCP) guided by B-ultrasound and conventional interventional radiation. Methods 30 patients with cholelithiasis treated with ERCP were enrolled in this study. ERCP and endoscopic sphincterotomy, (EST) lithotomy and self-expandable metal stent were performed in the treatment of (EMBE). According to the different development methods, the patients were divided into ultrasound group (n = 15) and control group (n = 15). The success rate, incidence of complications, operation and recovery, and inflammatory response indexes were compared between the two groups. Results the success rate of ERCP in both groups was 100%, and there was no significant difference (P 0.05). The incidence of bile duct injury, pancreatic duct injury and papilla muscle injury in ultrasound group was significantly lower than that in control group (P 0.05). The operation time, postoperative jaundice regression time, postoperative high fever regression time and bed rest time in the ultrasound group were shorter than those in the control group (P 0.05). The levels of serum C-reactive protein (CRP), tumor necrosis factor (TNF)-偽, calcitonin (PCT), IL-6 and IL 鈮，

本文編號：2512244