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内镜下乳头括约肌小切开联合气囊扩张术在胆总管结石治疗中的应用价值
引用本文:王蓉,王富文,华国安,朱军,姜新. 内镜下乳头括约肌小切开联合气囊扩张术在胆总管结石治疗中的应用价值[J]. 胃肠病学和肝病学杂志, 2011, 20(2): 185-186
作者姓名:王蓉  王富文  华国安  朱军  姜新
作者单位:1. 上海市浦东新区光明中医医院消化内科,上海,201300
2. 上海市浦东新区光明中医医院内镜室,上海,201300
基金项目:上海市浦东新区科委卫生科技项目资助(NKYL0804)
摘    要:
目的探讨内镜下乳头括约肌小切开联合气囊扩张术在胆总管结石治疗中的效果和安全性。方法选取胆总管结石患者46例行乳头括约肌小切开联合气囊扩张术取石,观察治愈率,近期、远期并发症。结果取石成功率为95.7%;近期并发症发生率为6.5%,其中急性胰腺炎1例,胆管炎2例,远期并发症发生率为4.4%,反流性胆管炎、结石复发各1例。结论内镜下乳头括约肌小切开联合气囊扩张术治疗胆总管结石,与乳头括约肌切开取石术同样有效,且安全性更好,操作更简单。

关 键 词:胆总管结石  乳头括约肌小切开  气囊扩张术

Limited endoscopic sphincterotomy plus balloon dilatation for removing common bile duct stones
WANG Rong,WANG Fuwen,HUA Guo'an,ZHU Jun,JIANG Xin. Limited endoscopic sphincterotomy plus balloon dilatation for removing common bile duct stones[J]. Chinese Journal of Gastroenterology and Hepatology, 2011, 20(2): 185-186
Authors:WANG Rong  WANG Fuwen  HUA Guo'an  ZHU Jun  JIANG Xin
Affiliation:WANG Rong1,WANG Fuwen1,HUA Guo'an1,ZHU Jun2,JIANG Xin2 1.Department of Gastroenterology,2.Department of Endoscopy,Shanghai Guangming Hospital of T.C.M,Shanghai 201300,China
Abstract:
Objective To evaluate the therapeutic efficacy and safety of limited endoscopic sphincterotomy(EST) plus balloon dilatation(EPBD) for removing common bile duct stones.Methods Forty-six patients with common bile duct stone were treated with EPBD after limited EST.The results of stones removal,short-term and long-term complications were evaluated.Results The success rate of limited EST plus EPBD was 95.7%.The incidence rate of short-term complications was 6.5%,including 1 case of acute pancreatitis and 2 case...
Keywords:Common bile duct stone  Limited endoscopic sphincterotomy  Balloon dilatation  
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