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内镜下乳头预切开术在ERCP中的应用
引用本文:周建波,黄晓烽,杨增上,邵彩儿,施建英,徐瑞华. 内镜下乳头预切开术在ERCP中的应用[J]. 中国内镜杂志, 2004, 10(8): 73-75
作者姓名:周建波  黄晓烽  杨增上  邵彩儿  施建英  徐瑞华
作者单位:浙江省余姚市人民医院,消化内科,浙江,余姚,315400
摘    要:目的探讨内镜下乳头预切开术在ERCP中的应用价值。方法对标准乳头切开法不能应用的病例采用经胰管乳头预切开法或针状切开刀法。结果41例乳头预切开术中,成功36例(87.8%),出现乳头出血3例,经电凝后血止。结论乳头预切开术作为常规ERCP和EST的补充方法,提高了ERCP的成功率,值得临床应用。

关 键 词:内镜 内镜下乳头括约肌切开术 乳头预切开术
文章编号:1007-1989(2004)08-0073-03
修稿时间:2004-04-17

Clinical value of pre-cut papillotomy in ERCP
ZHOU Jian-bo,HUANG Xiao-feng,YANG Zeng-shang,SHAO Cai-er,SHI Jian-ying,XU Rui-hua. Clinical value of pre-cut papillotomy in ERCP[J]. China Journal of Endoscopy, 2004, 10(8): 73-75
Authors:ZHOU Jian-bo  HUANG Xiao-feng  YANG Zeng-shang  SHAO Cai-er  SHI Jian-ying  XU Rui-hua
Abstract:Objective:To disscuss the clinical value of pre-cut papillotomy in ERCP.Methods:We used pre-cut papillotomy(transpancreatic duct pre-cut or needle-knife papillotomy)in patients in whom attempts at standard endoscopic sphincterotomy were failed.Results:Pre-cut papillotomy was successful in36of41patients(87.8%).Mild Bleeding occurred in three patient,were managed conservatively.Conclusions:Pre-cut papillotomy is a valuable adjunct tecniques to conventional techniques,increases the success of diagnostic and therapeutic procedures at the papilla of Vater.
Keywords:endoscopic  sphincterotomy  pre-cut papillotomy  
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