十二指肠镜治疗胆总管结石610例疗效分析

目的　总结 6 10例经十二指肠镜治疗胆总管结石的经验。方法　自 1983年 1月至 2 0 0 2年 2月 ,经十二指肠镜治疗胆总管结石共 6 10例 ,回顾性分析其治疗效果。结果　经十二指肠镜立即取石 4 9.8% (30 4 /6 10 ) ,结石最大直径 2 .5cm。经ERCP造影或B超检查 2 4 .4 % (14 9/6 10 )在 1周内排石 ;19.8% (12 1/6 10 )在 2周内排石。总排石率 94 .1% ,36例失败。 19% (10 6 /6 10 )发生少量出血 ,无死亡病例。结论　经十二指肠镜胆总管取石效果好、创伤小 ,术后恢复快。对于胆囊结石合并胆总管结石患者 ,经十二指肠镜取石为患者行腹腔镜胆囊切除术创造了良好条件

Clinical experience of 610 cases of common bile duct stone treated with endoscopy

Objective To sum up the clinical experience of common bile duct stone treated with endoscopy in 610 patients. Methods 610 cases of common bile duct stone treated with endoscopy from Jan., 1983 to Feb., 2002 were reviewed. A retrospective analysis of therapeutic effects was made. Results 49.8%(304/610) of the common bile duct stones was removed immediately. The biggest diameter of the stone was 2.5 cm. Examined by the ERCP or B ultrosound, 24.4%(149/610) removed in one week and 19.8(121/610) in two weeks. The general stone removal rate was 94.1%. 36 cases failed. The incidence of complication was 19%(106/610) with a little hemorrhage after EST. No patient died. Conclusions Endoscopy therapy is effective and mini-invasive to common bile duct stones and patients are easy to recover. Endoscopy therapy provides a good condition to cure patients with cholecystolithiasis combined with bile duct stones with laparoscope cholecystotomy.