B超引导与介入放射下进行经内镜逆行性胰胆管造影术的疗效对比
发布时间：2019-07-09 15:25
【摘要】：目的对比B超引导下与传统介入放射下进行的经内镜逆行性胰胆管造影(ERCP)术的疗效。方法选取接受ERCP术治疗的30例胆管结石患者为研究对象,收住院后进行ERCP和内镜下乳头括约肌切开术(EST)取石和自膨式金属支架治疗(EMBE)。根据显影方式不同分为超声组和对照组各15例,比较两组患者的成功率与并发症发生率、操作和恢复情况及炎症反应指标。结果两组患者的ERCP术成功率均为100%,差异无统计学意义(P0.05);超声组胆管损伤、胰管损伤和乳头肌损伤的发生率明显低于对照组(P0.05);超声组的操作时间、术后黄疸消退时间、术后高热消退时间以及卧床时间均短于对照组(P0.05),血清C反应蛋白(CRP)、肿瘤坏死因子(TNF)-α、降钙素原(PCT)、白细胞介素(IL)-6、IL-10含量低于对照组(P0.05)。结论 B超引导下的ERCP术能够取得与传统介入放射下ERCP术相同的成功率,且有助于降低并发症的发生率,缩短操作时间,促进术后恢复,缓解炎症反应,是更为理想的ERCP术方式。
[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)-伪, calcitonin (PCT), IL-6 and IL 鈮，
本文编号：2512244
[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)-伪, calcitonin (PCT), IL-6 and IL 鈮，
本文编号：2512244
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