ABSTRACT
Objective To evaluate the efficacy and safety of emergency endoscopic needle-knife sphincterotomy in acute biliary pancreatitis caused by impacted common bile duct stones at duodenal papilla.Methods Between Jan 2007 and Jan 2017,115 cases underwent emergency endoscopic retrograde cholangiopancreatography (ERCP) and needle-knife sphincterotomy.Clinical data were recorded and analyzed.Results Procedures were successful in all cases.The mean operative time of needle-knife sphincterotomy was (22.5 ± 13.7) min.The clearence of impacted stone at duodenal papilla was 87.8％(101/115).The syptoms of pancreatitis promptly relieved after emergency ERCP.Postoperative white blood cell count,serum amylase and liver function improved significantly.The complication rate was 5.2％ (6/115),including 3 cases of hemorrhage and 3 cases of acute cholangitis,which were cured by conservative treatment.There was not procedure-related mortality.Conclusions Emergency endoscopic needle-knife precut sphincterotomy is effective and safe for acute biliary pancreatitis caused by impacted common bile duct stones at the duodenal papilla.
ABSTRACT
Objective To evaluate the application value of emergency endoscopic needle-knife sphincterotomy(NKS) on acute cholangitis of severe type (ACST) resulting from impacted common bile duct stones at duodenal papilla. Methods A retrospective study was performed on the data of 90 ACST cases with impacted common bile duct stones at the native papilla and undergoing emergency NKS between January 2011 and January 2017 in Tianjin Nankai Hospital. The completion of treatment, mean operating time, impacted stone clearance rate, changes of laboratory indexes before and after endoscopic procedure, and complications were analyzed. Results All the 90 patients underwent emergency NKS successfully, with a total success rate of 100. 0％. The mean operating time was 25. 2±11. 7 min. The impacted stone clearance rate was 95. 6％(86/90). The complication rate was 5. 6％(5/90), including 3 cases of hemorrhage and 2 cases of post-ERCP pancreatitis. There was no procedure-related mortality. The postoperative white blood cell count, serum procalcitonin, total bilirubin, direct bilirubin, and glutamic-pyruvic transaminase decreased significantly compared with pre-operation ( all P<0. 001) . Conclusion Emergency NKS is effective and safe for treatment of ACST resulting from impacted common bile duct stones at duodenal papilla with a relative high application value.
ABSTRACT
Objective To investigate the incidence of gluteal muscle contracture(GMC) of students in 18 primary and secondary schools in Rongchang county .Methods We used health screening tests to investigate students′health condition about gait and knee squat ,snapping levy ,obber levy ,hip muscles ,the hip joint activities .Results Among the 15 000 students in 18 primary and second‐ary schools in Rongchang county ,25 case(1 .67‰)were diagnosed with GMC ,70% of them had received muscular injection and 40% of them were Left‐behind children .Conclusion The incidence rate of GMC in Rongchang county is appropriate to other parts of our country ,the disease should be strengthened to prevent and treat .