| 内窥镜下十二指肠乳头括约肌切开术治疗胆胰疾病 |
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| 引用本文： | 周永碧 李智华. 内窥镜下十二指肠乳头括约肌切开术治疗胆胰疾病[J]. 中华外科杂志, 1997, 35(5): 274-276 |
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| 作者姓名： | 周永碧 李智华 |
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| 作者单位： | 第三军医大学附属西南医院肝胆外科中心 |
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| 摘 要： | 内窥镜下十二指肠乳头括约肌切开术（ＥＳＴ）是治疗胆胰部分疾病较新的内镜技术，主要用于胆总管结石、缩窄性乳头炎、慢性胰腺炎、胆道蛔虫和Ｏｄｄｉ括约肌功能障碍等胆胰疾病。作者总结了２７００例次内窥镜逆行胰胆管造影术（ＥＲＣＰ）检查中３４６例行ＥＳＴ术的经验。切开成功３３１例，成功率９５．７％。结石排出率９６％，狭窄解除率９３．８％。失败１５例，失败率４．３％分。作者并对ＥＳＴ术的临床应用和并发症的预防进行了讨论。
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| 关 键 词： | 括约肌切开术.内窥镜 胰胆管造影术.内窥镜 胆道疾病 胰腺疾病 |
Endoscopic papillosphincterotomy for the treatment of pancreaticobiliary disease |
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| Zhou Yunbi,Li Zhihua,Chen Min.Hepatobiliary Surgery Center,South West China Hospital,Third Military Medical University,Chongqing .. Endoscopic papillosphincterotomy for the treatment of pancreaticobiliary disease[J]. Chinese Journal of Surgery, 1997, 35(5): 274-276 |
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| Authors: | Zhou Yunbi Li Zhihua Chen Min.Hepatobiliary Surgery Center South West China Hospital Third Military Medical University Chongqing . |
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| Affiliation: | Hepatobiliary Surgery Center, South-West China Hospital, Third Military Medical University, Chongqing. |
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| Abstract: | From July 1987 to March 1996, endoscopic papillosphincterotomy (EST) was performed in 346 patients of 2,700 cases undergoing ERCP. Maj or indications for EST were choledocholithiasis, constrictive papillitis, chronic pancreatitis, biliary ascariasis and dysfunction of Oddi's sphincter. The EST was successful in 331 cases, ang the overall success rate was 95.7%. The stone discharge rate was 96%. The stricturotomy rate was 93.8%. The failure rate was 4.3% (15 cases). Clinical application and prevention of complications for EST were discussed. |
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| Keywords: | Sphincterotomy endoscopic Cholangiopancreatography endoscopic retrograde Biliary tract diseases Pancreatic diseases |
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