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| 经内镜乳头括约肌切开术与气囊扩张术治疗胆总管结石临床评价 | |
| 引用本文： | 李春明,刘中宏,姜国玲,张兆文. 经内镜乳头括约肌切开术与气囊扩张术治疗胆总管结石临床评价[J]. 世界华人消化杂志, 2006, 14(2): 230-233 |
| 作者姓名： | 李春明 刘中宏 姜国玲 张兆文 |
| 作者单位： | 哈尔滨市第一医院消化内科,黑龙江省,哈尔滨市,150010 |
| 基金项目： | 黑龙江省哈尔滨市科技局科研项目 |
| 摘 要： | 目的:评价经内镜乳头括约肌切开术(EST)和气囊扩张术(EPBD)联合机械碎石(EML)治疗胆总管结石的临床疗效．方法:选取我院住院胆总管结石患者60例,随机分成EST组(n=30)和EPBD组(n=30),分别采用EST和EPBD联合机械碎石进行内镜下取石．观察二组的治愈率,近期并发症、远期并发症．结果:正结果EST组与EPBD组的取石成功率为93．3％和90％．无显著性差异(P>0．05): 两组近期并发症发生率(包括胰腺炎、胆道感染、出血)为30％和13．3％,无显著性差异 (P>0．05);而远期并发症(包括胆道感染、结石复发)26．7％和3.3％,有显著性差异(P<0．05)．结论:EST和EPBD的结石清除率及近期并发症相似,但EPBD远期并发症的发病率较低, 表明EPBD能够在一定程度上保护Oddi括约肌功能。 |
| 关 键 词： | 内镜乳头括约肌切开术 气囊扩张术 胆总管结石 并发症 |
| 收稿时间： | 2005-11-23 |
| 修稿时间： | 2005-11-23 |
Clinical evaluation of endoscopic sphincterotomy and papillary balloon dilation for removal of common bile duct stones |
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| Chun-Ming Li,Zhong-Hong Liu,Guo-Ling Jiang,Zhao-Wen Zhang. Clinical evaluation of endoscopic sphincterotomy and papillary balloon dilation for removal of common bile duct stones[J]. World Chinese Journal of Digestology, 2006, 14(2): 230-233 | |
| Authors: | Chun-Ming Li Zhong-Hong Liu Guo-Ling Jiang Zhao-Wen Zhang |
| Abstract: | AIM: To evaluate the clinical effect of endoscopic sphincterotomy (EST) and endoscopic papillary balloon dilatation (EPBD) associated with mechanical lithotripsy (EML) in the treatment of common bile duct stones. METHODS: Sixty patients with common bile duct stones were enrolled and randomized to EST (n=30) and EPBD (n=30) group. EST or EPBD associated with mechanical lithotripsy were performed in the corresponding group. The success rates for duct clearance as well as the frequency of short-term and long-term complications were evaluated. RESULTS: Duct clearance was achieved in 93.3% patients of EST group and 90% of EPBD group, and there was no significant difference between them (P > 0.05). Short-term complica- tions, including acute pancreatitis, cholangitis and hemorrhage, appeared in 30% and 13.3% patients of EST and EPBD group, respectively, and there was no significant difference between them, either (P>0.05). However, the rates of long-term complications such as cholangitis and recurrent choledocholithiasis were 26.7% and 3.3% in EST and EPBD group, between which significantly difference existed (P< 0.05). CONCLUSION: EST and EPBD were approximately equal in terms of successful clearance of bile duct stones and short-term complications, but EPBD is more superior in the prevention of long-term complication, indicating that EPBD can protect the papillary function to some extent. |
| Keywords: | Endoscopic sphincterotomy Endoscop-ic papillary balloon dilatation Common bile duct stone Complication |
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