本文選題：十二指腸憩室　切入點：內(nèi)鏡　出處：《揚州大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：[背景]十二指腸憩室在行內(nèi)鏡下逆行胰膽管造影術(shù)(endoscopic retrograde cholangio-pancreatography, ERCP)檢出率約為3.2%-26%,目前研究報告對十二指腸憩室是否對膽管插管或者術(shù)后主要并發(fā)癥有影響仍有一定爭議。 [目的]探討十二指腸憩室的存在與膽道結(jié)石關(guān)系,對ERCP膽管插管及對術(shù)后主要并發(fā)癥的影響,并從側(cè)面了解我院初期ERCP水平。 [方法]回顧性分析2010年1月至2012年1月期間,在我院行ERCP的179例患者,分析比較憩室組(A組)與非憩室(B組)患者的年齡,膽道結(jié)石發(fā)生率,膽結(jié)石發(fā)生部位、插管成功率及并發(fā)癥。 [結(jié)果]179例患者中,憩室組59例,男性為30名,女性為29名,平均年齡為67歲。憩室伴發(fā)膽道結(jié)石達(dá)55例,其中原發(fā)性膽總管結(jié)石為8例。非憩室組120例,男性為57名,女性為63名,平均年齡為57歲。非憩室組膽道結(jié)石為92例,原發(fā)性膽總管結(jié)石為14例。原發(fā)性膽總管結(jié)石發(fā)生率兩組分別為：13.56%和11.67%,兩者有統(tǒng)計學(xué)差異(P=0.001)。憩室組插管成功率達(dá)91.53%(54/59),非憩室組達(dá)96.67%(116/120),插管成功率無統(tǒng)計學(xué)意義(91.53%VS96.67%, P=0.139, Fisher矯正后為0.158)。憩室組與非憩室組PEP發(fā)生率分別達(dá)：11.86%(7/59)及8.33%(10/120),兩組之間PEP發(fā)生率無差別(11.86%VS8.33%,P=-0.574)。 [結(jié)論]十二指腸憩室的存在隨年齡增大而發(fā)病率升高,憩室的存在與膽道結(jié)石發(fā)生相關(guān),其對ERCP插管成功率及術(shù)后主要并發(fā)癥無影響。
[Abstract]:[background] the detection rate of endoscopic retrograde cholangio-pancreatography (ERCP) in duodenal diverticulum is about 3.2-26. There is still some controversy about whether duodenal diverticulum has influence on bile duct intubation or major postoperative complications. [objective] to investigate the relationship between the existence of duodenal diverticulum and cholelithiasis, the influence of ERCP bile duct intubation and main postoperative complications, and to understand the level of ERCP in the early stage of our hospital. [methods] the age, incidence and location of cholelithiasis in group A (group A) and group B (non-diverticulum group) were analyzed retrospectively from January 2010 to January 2012 in 179 patients with ERCP in our hospital. Successful rate of intubation and complications. [results] among 179 patients, there were 59 cases in diverticulum group, 30 males and 29 females, with an average age of 67 years. There were 55 patients with cholelithiasis associated with diverticulum, including 8 patients with primary choledocholithiasis, 120 patients with non-diverticulum group and 57 patients with male choledocholithiasis. There were 63 females with an average age of 57 years. 92 cases of cholelithiasis were found in non-diverticulum group. There were 14 cases of primary choledocholithiasis. The incidence of primary choledocholithiasis in the two groups was: 13.56% and 11.67%, respectively. There was statistical difference between the two groups. The success rate of intubation in diverticulum group was 91.53 / 54 / 59, and that in non-diverticulum group was 96.67VS96.670.The success rate of intubation was not significantly different from that of non-diverticulum group. The incidence of PEP in the diverticulum group and the non-diverticulum group was 7 / 59 and 8.33 / 120, respectively. There was no difference in the incidence of PEP between the two groups. There was no difference between the two groups in the incidence of PEP. [conclusion] the incidence of duodenal diverticulum increases with age. The presence of duodenal diverticulum is related to the occurrence of cholelithiasis, and has no effect on the success rate of ERCP intubation and major postoperative complications.
【學(xué)位授予單位】：揚州大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R574.51;R575.62

【參考文獻(xiàn)】

相關(guān)期刊論文 前8條

1 龐爾君;陳巍;楊俊;汪昱;鄭起;;十二指腸乳頭旁憩室與膽胰疾病的關(guān)系[J];肝膽胰外科雜志;2012年01期

2 鄭峰;朱濱;王苗苗;江勇;;降鈣素原和內(nèi)毒素在重癥急性胰腺炎患者合并感染診斷中的應(yīng)用[J];肝膽胰外科雜志;2013年03期

3 丁凱宏;班副植;黃承樂;黎榮能;黃紅華;;急性胰腺炎患者血清降鈣素原、超敏C反應(yīng)蛋白、白細(xì)胞介素6水平變化及臨床意義[J];國際檢驗醫(yī)學(xué)雜志;2013年17期

4 陳永忠;;急性胰腺炎患者血清降鈣素原檢測及其臨床意義[J];中國醫(yī)藥指南;2010年11期

5 于經(jīng)瀛,顧占軍,林瑞蘭;無癥狀上消化道憩室的增齡性改變[J];中華老年醫(yī)學(xué)雜志;2005年10期

6 譚超超;吳意;曹友德;吳智勇;文麗明;彭劍橋;蔣薇;曾玲;;PCT在感染性壞死性胰腺炎中的診斷價值[J];中國現(xiàn)代醫(yī)學(xué)雜志;2012年07期

7 盤毅輝;鄧孫林;蔣亞斌;;重癥急性胰腺炎患者檢測降鈣素原和C反應(yīng)蛋白的臨床意義[J];中國實用醫(yī)藥;2013年02期

8 楊同宏;;PCT、SVCAM-1聯(lián)檢在急性胰腺炎診斷中的應(yīng)用[J];中國實用醫(yī)藥;2013年17期

，

本文編號：1642465