[1]韦丽秋,白　杨,曹凤华,等.内窥镜逆行胰胆管造影患者术后并发急性胰腺炎相关因素分析[J].新乡医学院学报,2019,36(2):181-184.[doi:10.7683/xxyxyxb.2019.02.021]
　WEI Li-qiu,BAI Yang,CAO Feng-hua,et al.Related factors of pancreatitis after endoscopic retrograde cholangiopancreatography[J].Journal of Xinxiang Medical University,2019,36(2):181-184.[doi:10.7683/xxyxyxb.2019.02.021]
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内窥镜逆行胰胆管造影患者术后并发急性胰腺炎相关因素分析
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
36
期数:
2019年2
页码:
181-184
栏目:
临床研究
出版日期:
2019-02-05

文章信息/Info

Title:
Related factors of pancreatitis after endoscopic retrograde cholangiopancreatography
作者:
韦丽秋1; 白　杨1; 曹凤华2; 杨晓东2
(1.南方医科大学南方医院消化内科,广东　广州　510515；2.红河州第三人民医院消化内科，云南　个旧　661000)
Author(s):
WEI Li-qiu1; BAI Yang1; CAO Feng-hua2; YANG Xiao-dong2
(1.Department of Gastroenterology,Nanfang Hospital,Southern Medical University,Guangzhou 510515,Guangdong Province,China;2.Department of Gastroenterology,the Third People′s Hospital of Honghe Prefecture,Gejiu 661000,Yunnan Province,China)
关键词:
内窥镜逆行胰胆管造影术; 急性胰腺炎; 临床特点
Keywords:
endoscopic retrograde cholangiopancreatography; acute pancreatitis; clinical characteristics
分类号:
R657.5+1
DOI:
10.7683/xxyxyxb.2019.02.021
文献标志码:
A
摘要:
目的　探讨经内窥镜逆行胰胆管造影（ERCP）患者术后并发急性胰腺炎的临床情况及相关因素。方法　选择2014年9月至2017年9月南方医科大学南方医院收治的因胆管结石行ERCP患者457例为研究对象，采用单因素和多因素logistic回归分析ERCP术后并发急性胰腺炎的相关危险因素。结果　457例行ERCP患者中，术后发生急性胰腺炎45例，发生率为9.85%。其中女性、年龄<60岁、存在Oddi括约肌功能障碍、有胆总管结石、胰腺炎病史、术中行胰腺显影、胰管括约肌切开术、Oddi括约肌测压术与ERCP术后急性胰腺炎的发生相关（χ2=5.375、3.282、4.538、3.178、4.965、3.921、4.971、4.320，P<0.05）。胰腺炎病史、胰腺造影、胰管括约肌切开术为ERCP术后并发急性胰腺炎的独立危险因素（r=1.121、1.025、0.041，P<0.05）。结论　胰腺炎病史、胰腺造影、胰管括约肌切开术为ERCP术后并发急性胰腺炎的独立危险因素。
Abstract:
Objective　To investigate the clinical situation and related factors of pancreatitis after endoscopic retrograde cholangiopancreatography (ERCP).Methods　A total of 457 patients underwent ERCP due to calculus of bile duct in Southern Hospital of Southern Medical University from September 2014 to September 2017 were selected as subjects.The general clinical data,operative factors and operator factors were compared between the patients with postoperative acute pancreatitis and the patients without postoperative pancreatitis.Results　There were 45 patients with pancreatitis in the 457 patients with ERCP,the incidence of pancreatitis was 9.85%.The female patients，the patients with age under 60,Oddi sphincter dysfunction,choledocholithiasis，the history of pancreatitis，intraoperative pancreatic imaging,pancreatic duct sphincterotomy and Oddi sphincter manometry were correlated with acute pancreatitis after ERCP(χ2=5.375,3.282,4.538,3.178,4.965，3.921,4.971,4.320；P<0.05).The history of pancreatitis,pancreatography and sphincterotomy were the independent risk factors for acute pancreatitis after ERCP (r=1.121,1.025,0.041;P<0.05).Conclusion　The history of pancreatitis,pancreatography and sphincterotomy are the independent risk factors for acute pancreatitis after ERCP.

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更新日期/Last Update: 2019-02-05