经内镜治疗胆总管结石462例报告

目的 探讨内镜治疗胆总管结石的效果与价值，方法 对内镜治疗胆总管结石462例的临床资料进行总结分析。结果 462例中，内镜乳头括约肌切开取石成功435例，内镜乳头括约肌球囊扩张8例，乳头旁瘘直接网篮取石8例，取净结石共451例，成功率为97.6%；11例因结石过大等原因改为择期剖腹手术或中转急诊手术。127例胆总管结石含并胆中结石均于内镜取胆总管结石后再行腹腔镜胆囊切除术，全部成功。发生急性胰腺炎9例，急发表量管炎1例，结石嵌顿1例，活动性出血3例。462例均治愈平均住院7d。结论 内镜治疗胆总管结石，微创，安全，有效。

Endoscopic treatment for choledocholithiasis(report of 462 cases)

Objective To study the efficiency and value of endoscopic treatment for choledocholithiasis. Methods Four hundred and sixty two patients with choledocholithiasis treated by endoscopic treatment were reviewed. Results Among 462 cases, the calculi were completely cleared in 451 cases, including EST in 435 cases, EPBD in 8 cases and parapapillary fistula in 8 cases.The clearance rate was 97.6%. The other 11 cases were changed to use surgical operation. There were 14 cases with complications included mild pancreatitis in 9 cases, acute cholangitis 1 case, active hemorrhage 3 case, stone impacted at papillary 1 case. All the patients were cured.Average hospitalization was 7 days. Conclusion Endoscopic treatment for choledoeholithiasis is a microinvasive,safe and effective method.