| ERCP治疗在胆道术后早期并发症处理中的临床价值 |
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| 引用本文： | 周文策,李玉民,朱晓亮,孟文勃,李汛,张磊,张辉,朱克祥,李琼,蒲小京.ERCP治疗在胆道术后早期并发症处理中的临床价值[J].兰州医学院学报,2011,37(3):33-36. |
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| 作者姓名： | 周文策 李玉民 朱晓亮 孟文勃 李汛 张磊 张辉 朱克祥 李琼 蒲小京 |
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| 作者单位： | 周文策 (兰州大学第一医院普外二科) ； 李玉民 (甘肃省肝胆胰外科研究所,甘肃兰州730030) ； 朱晓亮 (兰州大学第一医院) ； 孟文勃 (甘肃省肝胆胰外科研究所,甘肃兰州730030) ； 李汛 (兰州大学第二医院普外科,甘肃兰州730030) ； 张磊 (兰州大学第一医院普外二科) ； 张辉 (甘肃省肝胆胰外科研究所,甘肃兰州730030) ； 朱克祥 (兰州大学第一医院普外二科) ； 李琼 (甘肃省肝胆胰外科研究所,甘肃兰州730030) ； 蒲小京 (兰州大学第一医院普外二科) ； |
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| 基金项目： | 甘肃省卫生厅行业科研计划项目 |
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| 摘 要： | 目的 探讨经内镜逆行胰胆管造影术(ERCP)及其相关治疗对胆道术后患者早期并发症的临床价值.方法 胆道术后早期出现各种并发症患者206例,经ERCP检查、明确病因后,对胆总管残余结石、胆总管下端狭窄患者行括约肌切开术或乳头球囊扩张术,对胆总管中段狭窄、术后胆瘘患者行内镜下胆道内支架引流或鼻胆管引流.结果 201例ERC...
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| 关 键 词： | 内镜逆行胰胆管造影术 胆道术后 早期并发症 |
Value of ERCP treatment in the early complications post biliary operation |
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| Institution: | ZHOU Wen-ce, LI Yu-min LI Xun, ZHANG Lei LI Qi , ZHU Xiao-liang MENG Wen-bo ZHANG Hui, ZHU Ke-xiang, LI qiong, Pu Xiao-jin(1. a Second Department of General Surgery, b Gansu Provincial Hepatopancreatobiliary Surgery Institute, First Hospital of Lanzhou University, Lanzhou 730000, China; 2. Department of General Surgery, Second Hospital of Lanzhou University, Lanzhou 730030, China) |
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| Abstract: | Objective To evaluate the value of endoscopic retrograde cholangiopancreatography （ERCP） in treating early complications of post-biliary operation. Methods 206 cases after bile duct operation were subjected to ERCP. After aetiology had been made clear, the patients with choledocholithiasis or end biliary structure underwent endoscopic sphincterotomy or endoscopic papillary balloon dilatation; those with middle biliary structure or bile leakage underwent endo- scopic retrograde biliary drainage or endoscopic nose-bile drainage. Results ERCP was successful in 201 cases. No obvious biliary abnormality was found in 4 cases; doudenal ulcer was found in 5 cases; 104 cases were cured with choledocholithiasis,there were 32 cases with end biliary structure, 38 cases with middle biliary structure and 18 cases with bile leakage. Conclusion RECP not only reveals the definite causes of complications after biliary operations, but also is effective in taking corresponding endoscopic therapeutic measures. |
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| Keywords: | endoscopic retrograde cholangio-pancreatography post-biliary operation early complication |
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