| 乳头预切开术在内镜逆行胰胆管造影术中的应用 |
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| 引用本文： | 何正在,陈友平,郭良忠,江应平,秦军,孙永忠.乳头预切开术在内镜逆行胰胆管造影术中的应用[J].临床消化病杂志,2007,19(1):45-46. |
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| 作者姓名： | 何正在 陈友平 郭良忠 江应平 秦军 孙永忠 |
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| 作者单位： | 湖北省天门市第一人民医院消化内科,天门,431700 |
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| 摘 要： | 目的探讨乳头预切开术在内镜逆行胰胆管造影术中的应用价值。方法对标准乳头切开法不能应用的病例分别采用针状刀预切开法、犁状刀乳头预切开法和经胰管乳头预切开法。结果58例乳头预切开术中,成功53例(91.3%);出现乳头出血3例,经电凝和喷洒副肾止血,2例轻度胰腺炎经内科保守治疗后好转。结论乳头预切开术作为常规逆行胰胆管造影术和内镜下乳头括约肌切开术的补充方法,提高了ERCP的成功率,值得临床推广应用。
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| 关 键 词： | 内镜 内镜下乳头括约肌切开术 乳头预切开术 |
| 文章编号： | 1005-541X（2007）01-045-02 |
| 收稿时间： | 2006-08-02 |
| 修稿时间： | 2006年8月2日 |
The Application of Precut Sphincterotomy in ERCP |
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| HE Zheng-zai,CHEN You-ping,GUO Liang-zhong,JIANG Ying-ping,QIN Jun,SUN Yong-zhong.The Application of Precut Sphincterotomy in ERCP[J].Chinese Journal of Clinical Gastroenterology,2007,19(1):45-46. |
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| Authors: | HE Zheng-zai CHEN You-ping GUO Liang-zhong JIANG Ying-ping QIN Jun SUN Yong-zhong |
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| Abstract: | Objective To discuss the clinical value of precut sphincterotomy in ERCP.Methods The cases who cound not undergo stand-ard sphincterotomy were treated by needle-knife precut,plow-knife precut and transpancreatic duct precut.Results 58 cases underwent precutsphincterotomy,of which,53 were suceessful(91.3%).3 with palilla bleeding were treated by electric congeal and spraying adrenalin.2 with mildpancreatitis were improved by conservative treatment.Conclusion Precut sphincterotompy is recommendable to be an adjunctive therapeutic tech-nique in routine ERCP and ESTfor its effect on improving the success of ERCP. |
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| Keywords: | Endoscopy Endoscopic sphinterotomy Precut sphincterotomy |
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