| ERCP诊治胆胰疾病的临床应用 |
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| 引用本文： | 郭学刚,孙安华,李彩宁,王新,王飚落,田凤歧,马雪琴,吴开春,丁杰,樊代明.ERCP诊治胆胰疾病的临床应用[J].第四军医大学学报,2003,24(10):934-935. |
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| 作者姓名： | 郭学刚 孙安华 李彩宁 王新 王飚落 田凤歧 马雪琴 吴开春 丁杰 樊代明 |
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| 作者单位： | 第四军医大学西京医院全军消化病研究所,陕西,西安,710033 |
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| 摘 要： | 目的：研究ERCP在诊治胆胰疾病中的临床应用．方法：对1996-01／2001-12我所临床应用ERCP诊治的1147例疾病患进行回顾性分析．结果：治疗性ERCP由1997年的6例(12．4％)上升到2001年的261例(87．6％)，逐渐取代了诊断性ERCP；ERCP在胆胰疾病诊治中的应用范围逐渐扩大；十二指肠乳头切开术和胆道取石术是治疗性ERCP中最多的术式，在胆胰疾病的治疗中占主要地位．结论：诊断性ERCP向治疗性ERCP的转变是消化内镜发展的重要趋势．
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| 关 键 词： | 胰胆管造影术 内窥镜逆行 诊断 治疗学 胆管疾病 胰腺疾病 |
| 文章编号： | 1000-2790(2003)10-0934-02 |
| 修稿时间： | 2002年12月24 |
Clinical application of ERCP in treating patients with cholangiopancreatic diseases |
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| Abstract: | AIM: To evaluate the clinical application of ERCP in the diagnosis and treatment of cholangiopancreatic diseases. METHODS: Clinical data of 1147 consecutive cases within last 6 years were reviewed retrospectively. Theses patients suffered from gallbladder pancreas diseases and underwent either diagnostic or therapeutic endoscopic retrograde cholangiopancreatography (ERCP). RESULTS: Application range of ERCP was widened in the diagnosis and treatment of cholangiopancreatic diseases. The number of cases that undergoing therapeutic ERCP increased from 6 in 1997 (12.4%) to 261 in 2001 (87.6), showing that therapeutic ERCP was gradually taking of the place of diagnostic ERCP. Endoscopicsphincterotomy (EST) and sphincterotomy with stone extraction were the main ways used mostly in therapeutic ERCP, which played important roles in the treatment of cholangiopancreatic diseases. CONCLUSION: This study demonstrated the potential tendency for the conversion of diagnostic ERCP to therapeutic ERCP in the future development of digestive endoscopes. |
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| Keywords: | cholangiopanereatography endoscopic retrograde diagnosis therapeutics bile duct diseases pancreatic diseases |
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