中西医结合治疗急性胆源性胰腺炎的临床研究

The clinical study of Integrated Tranditional and Western Medicine therapy for acute billiary pancreatitis

关键词:  中西医结合  急性胆源性胰腺炎  临床研究

Key words:  duodenoscopy  acute biliary pancreatitis  the integration tranditional and western medicine

摘要:

[目的]评价急性胆源性胰腺炎中西医结合治疗的有效性和安全性。[方法]2004年1月—2005年12月共收治急性胆源性胰腺炎136例,24～72h内行逆行胰胆管造影(ERCP)、内镜下乳头括约肌切开(EST)后用网篮取石或气囊取石及内镜下鼻胆管引流(ENBD),术后应用加减清胰汤;合并胆囊结石者,待胰腺炎恢复后,施行腹腔胆囊切除术(LC)。[结果]54例胆管结石行EST取出,所有病人均行ENBD,胰腺炎顺利治愈131例,治愈率为96.3%;合并胆囊结石113例,病情稳定后行LC。未发生与之有关的严重并发症。[结论]内镜联合中药治疗急性胆源性胰腺炎的安全性、有效性,使微创的优点在该病整个疗程中得以体现,为其治疗提供了较为理想的方法。

Abstract:

[Objective] To study the clink effect of mini-invasive treatment of integrated Tranditional and Western Medicine for Acute Biliary Pan creatitis (ABP). [Methods] 136 patients with ABP emergent endoscopic procedures were retrospectivelv analyzed from January 2004 to December 2005. All of them were underwent the examination and treatment of duodenoscopy at first within 2472 h of hospitalization,then were taken Chinese medicine "Qing Yi Tang"; LC were carried out in the causes with Cholelithiasis,to observe the different of the lever amylase、 TBIL,ALT,ALP. [Results] 131 causes were successfully healed by Duodenoscopy among 136, the success rate is 96.3%,ERCP and ENBD were performed in all causes including EST and stone extraction for 104 causes. There were no severe complications nor mortality; 113 causes with Cholelithiasis were carried out by LC. As compared with before of the treatment, the levels of amylase and TBIL,ALT,ALP were decreased much significantly. [Conclusion] This scheme utilizes the advantages of techniques of digestive endoscopies and Chinese herbal medicines is a safe,mini-invasive and highly effective method in treating acute biliary pancreatitis.