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目的:探讨序贯微创治疗急性胆源性胰腺炎(ABP)的疗效。方法:对2013年1月—2015年12月112例ABP患者行保守治疗基础上的序贯微创治疗,后者包括内窥镜下鼻胆管引流(ENBD)后内镜下乳头括约肌切开术(EST)+网篮取石,择期行腹腔镜胆囊切除术(LC)或LC+胆总管切开取石(LCBDE)以及微创治疗的基础上的个体化治疗。结果:88例轻、中型患者均在住院期间解除胆道结石病因并痊愈出院,无死亡病例,平均住院(7.5±2.3)d;24例重型患者中,2例因多器官功能衰竭死亡,其余均顺利出院,平均住院(21.2±5.3)d。结论:序贯微创治疗ABP疗效确切,具有住院期间一次彻底解除病因,缩短平均住院时间等优势。
Objective: To investigate the efficacy of sequential minimally invasive treatment of acute gallstone pancreatitis (ABP). Methods: One hundred and one patients undergoing conservative management of sequential minimally invasive treatment of ABP from January 2013 to December 2015 were enrolled. The latter included endoscopic nasobiliary drainage (ENBD) post-endoscopic sphincterotomy (EST) + net basket stone, elective scheduled laparoscopic cholecystectomy (LC) or LC + common bile duct stone (LCBDE) and minimally invasive treatment based on the individualized treatment. Results: All the 88 mild and moderate patients were relieved of the cause of gallstone during hospitalization and were discharged without any deaths. The average hospitalization was (7.5 ± 2.3) days. Of the 24 severe cases, 2 died of multiple organ failure and the rest were Successful discharge, the average hospitalization (21.2 ± 5.3) d. Conclusion: Sequential minimally invasive treatment of ABP curative effect is exact, with a hospital during a complete eradication of the cause, shorten the average length of stay and other advantages.