Objective To investigate value of clinical applications of ERCP in patients with acute biliary pancreatitis.Meth-ods A retrospective study was conducted on 120 patients with acute biliary pancreatitis in the Chaohu Hospital of Anhui Medical U-niversity between January 2014 and December 2015.The subjects were divided into two groups:observation group (n =60)and con-trol group (n =60)groups,were respectively treated with ERCP and internal medical therapy.The validity rate,mortality rate and the incidence of complications were recorded.Results The validity rate of the observation group(95.0%)was better than that of the control group (76.7%),the differences were statistically significant (P <0.05 ).The mortality rate of the observation group (1.7%)was lower than the control group(13.3%),the statistically significant differences(P <0.05);The incidence of complica-tions of the observation group(1 1.7%)was lower than the control group(30.0%),the statistically significant differences(P <0.05).Conclusion ERCP is an effective and safe method for the treatment of acute biliary pancreatitis and can be recommended as the first choice of treatment.%目的：探讨逆行性胰胆管造影（ERCP）在早期急性胆源性胰腺炎（ABP）患者中的临床应用价值。方法分析120例早期 ABP 患者的临床资料，采用 ERCP 治疗的患者为60例作为观察组，采用保守治疗的60例患者作为对照组。对两组患者的治疗有效率、病死率以及并发症发生率进行分析。结果观察组患者的治疗有效率（95．0％）与对照组（76．7％）比较，差异有统计学意义（P ＜0．05）；观察组患者的病死率（1．7％）与对照组（13．3％）比较，差异有统计学意义（P ＜0．05）；观察组患者的并发症发生率（11．7％）与对照组（30．0％）比较，差异有统计学意义（P ＜0．05）。结论采用ERCP 治疗早期 ABP 的有效性和安全性高，可考虑作为 ABP 患者的首选治疗方法。
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