| 十二指肠镜治疗胆道术后并发症34例分析 |
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| 引用本文： | 袁涛,郭丽萍,杨俊涛,陈平. 十二指肠镜治疗胆道术后并发症34例分析[J]. 医疗保健器具, 2011, 18(5): 705-706. DOI: 10.3936/j.issn.1674-4659.2011.05.0705 |
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| 作者姓名： | 袁涛 郭丽萍 杨俊涛 陈平 |
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| 作者单位： | 第三军医大学大坪医院野战外科研究所,肝胆外科,重庆,400004 |
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| 摘 要： | 目的探讨十二指肠镜在治疗胆道手术术后并发症中的应用价值。方法回顾性分析近10年（2000年1月～2010年1月）胆道手术术后并发症在我院行十二指肠镜治疗34例病例。胆总管残余结石行乳头括约肌切开及气囊扩张术取石23例;胆漏行鼻胆管引流（ENBD）治疗7例,其中LC术后胆漏5例,胆道探查引起胆瘘2例;胆管狭窄行胆管球囊扩张,放置胆管塑料内支架2例;肝门胆管癌术后再狭窄及胆道术后胆道不通行金属支架治疗2例。结果 23例胆总管残余结石患者经乳头括约肌切开及气囊扩张术取石,其中有5例经碎石操作取净结石。7例胆漏患者经鼻胆管引流2~3周后胆漏闭合,无严重并发症发生。2例胆管狭窄患者经胆管球囊扩张、放置胆管内支架治愈。2例恶性肿瘤患者安置金属支架一年内未发生胆管炎。结论十二指肠镜在治疗胆道术后并发症中具有重要应用价值,是胆总管残余结石、胆漏及胆管狭窄和恶性梗阻治疗的很好方法。
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| 关 键 词： | 十二指肠镜 胆总管残余结石 胆漏 胆管狭窄 |
Analysis of Duodenoscopy for the Treatment of Complications after Biliary Tract Operation of 34 Cases |
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| YUAN Tao,GUO Liping,YANG Juntao,CHEN Ping. Analysis of Duodenoscopy for the Treatment of Complications after Biliary Tract Operation of 34 Cases[J]. Medicine Healthcare Apparatus, 2011, 18(5): 705-706. DOI: 10.3936/j.issn.1674-4659.2011.05.0705 |
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| Authors: | YUAN Tao GUO Liping YANG Juntao CHEN Ping |
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| Affiliation: | YUAN Tao,GUO Liping,YANG Juntao,CHEN Ping(Department of Hepatobiliary Surgery,Institute of Surgery Rersearch,Daping Hospital,the Third Military Medical University,Chongqing 400004,China) |
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| Abstract: | Objective To estimate the values of duodenoscopy in the treatment of complications after biliary tract operation.Methods All the 34 cases treated with ERCP were analyzed retrospectively,including 23 patients with calculus in bile dust after laparoscopic cholecystectomy given endoscopic sphincterotomy or balloon dilatation was taken out choledocholith,7 patients with postoperative bile leakage after biliary surgical procedures,in which there were 5 cases after LC and 2 cases of biliary tract exploration,they... |
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| Keywords: | Duodenoscopes Retained calculus of choledochus Bile leakage Stenosis of bile duct |
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