内镜介入治疗胆总管结石89例临床分析

目的　总结内镜介入治疗胆总管结石的方法、成功率与并发症。方法　常规施ECRP ,了解结石位置、大小及胆总管解剖 ,直接行网篮取石及其他相应操作。结果　 89例中因憩室内乳头不宜行EST取石 ,1例因胆总管弯曲结石未能全部取出外 ,余 87例均 1次取石成功 ,并发症发生率为 1 0 5 % ,包括胆管出血、胆管炎及结石嵌顿等。结论　内镜介入治疗胆总管结石 ,是近代开展的微创疗法 ,操作简单 ,取石成功率高

Clinical Analysis on Stone in Bile Duct Treated with Endoscope Intervention

Objective To summarize the method , successful rate and complications on treatment of stone of bile duct with endoscope intervention. Methods The routine ERCP was performed to learn the location, size of stone and anatomy of bile duct so that to take out the stone with the EST and other performance. Results 1 case was not available for performance of EST due to the papillae in diverticulum. 1 cases failed due to curved bile duct. The other 87 cases were performed successfully. The complication rate was 10.5% that included bleeding, inflammation and embed of stone. Conclusion This method was micro-invasive operation that developed recently with easy performance and high successful rate. The complication could be reduced by improving skills.