腹腔镜腹膜后引流术在ERCP术后消化道穿孔中的应用(附3例报道)

doi:10.3760/cma.j.issn.2095-7041.2015.04.018

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摘要目的探讨腹腔镜腹膜后引流术在内镜下逆行胰胆管造影(ERCP)术后消化道穿孔治疗中的应用。方法回顾性分析中国平煤神马医疗集团总医院普外一区2005年1月—2014年2月采用腹腔镜腹膜后引流术治疗ERCP术后消化道穿孔3例患者的临床资料,其中男2例,女1例。3例患者均因梗阻性黄疸入院,行ERCP术后出现消化道穿孔、腹膜炎,急诊行腹腔镜腹膜后引流术,并给予胃肠减压、生长抑素、持续肠内营养等治疗。结果 3例患者引流术术后复查CT见腹膜后大量的积气消失、积液逐渐减少;术后持续监测显示,腹腔引流液淀粉酶水平在2周后逐渐下降至正常,穿孔均获治愈。随访半年无十二指肠狭窄等并发症发生。结论应用腹腔镜腹膜后引流术治疗ERCP术后穿孔疗效好,且具有创新性,是一种较好的治疗选择。

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	王勇
	张晶晶
	阮翊
	武洋

关键词 ：胰胆管造影术,内镜逆行, 肠穿孔, 腹膜后腔积气, 并发症, 腹腔镜

收稿日期: 2014-09-18

通讯作者: 阮翊, Email: ruanyiqjzx@sohu.com E-mail: ruanyiqjzx@sohu.com

引用本文:

王勇,张晶晶,阮翊,武洋. 腹腔镜腹膜后引流术在ERCP术后消化道穿孔中的应用(附3例报道)[J]. 中华解剖与临床杂志, 2015, 20(4): 353-355.

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http://www.cjac.com.cn/CN/10.3760/cma.j.issn.2095-7041.2015.04.018 或 http://www.cjac.com.cn/CN/Y2015/V20/I4/353

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