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内镜下逆行胰胆管造影加取石术诊治胆总管结石
引用本文:刘志刚,胡雪峰,程彦平.内镜下逆行胰胆管造影加取石术诊治胆总管结石[J].航空航天医药,2007,18(1):23-24.
作者姓名:刘志刚  胡雪峰  程彦平
作者单位:150066,哈尔滨242医院
摘    要:目的:评价内镜下逆行胰胆管造影(ERCP)同时行乳头括约肌切开术(EST)对胆总管结石的诊断与治疗价值.方法:回顾性分析98例经B超检查诊断为胆总管结石的患者,先行ERCP检查,再行内镜下EST治疗胆总管结石.结果:98例中ERCP准确诊断胆总管结石96例,怀疑胆总管结石1例,未发现异常1例,其确诊率为97.9%,96例EST后采取网篮取石、球囊取石和机械碎石网篮取石成功,1例失败.结论:ERCP对胆总管结石诊断价值较高.EST是一种治疗胆总管结石安全、有效、简便的方法.

关 键 词:胆总管结石/外科手术  内窥镜逆行  胰胆管造影术  乳头括约肌切开术
修稿时间:2006-04

Diagnostic and therapeutic value of endoscopic retrograde cholangio pancreatography and endoscopic sphincterotomy for choledocholithiasis
Liu Zhigang,Hu Xuefeng,Cheng Yanping.Diagnostic and therapeutic value of endoscopic retrograde cholangio pancreatography and endoscopic sphincterotomy for choledocholithiasis[J].Aerospace Medicine,2007,18(1):23-24.
Authors:Liu Zhigang  Hu Xuefeng  Cheng Yanping
Institution:Harbin 242 hospital , 150066 , China
Abstract:Objective:To evaluate the diagnostic and therapeutic value of endoscopic retrograde cholangio pancreatography (ERCP) and endoscopic sphincterotomy (EST) for choleocholithiasis.Methods:Ninety-eight choleocholithiasis patients diagnosed through-ultrason- ic were performed ERCP and EST.All the imaging data were analyzed retrospectively.Results:As the result of ERCP,among ninety eightcas- es,ninetysix were choleocholithiasis,one case was suspected choleocholithiasis and one case was normal,with the diagnostic accuracy 97.9%.EST was successful for ninetysix cases,failure for one.Conclusions:ERCP has important value in diagnosing choleocholithiasis and EST is one of safe,reliable and simple therapeutic methods.
Keywords:choleocholithiasis/surgical  endoscopic retrograde cholangio pancreatography(ERCP)  endoscopic sphincterotomy(EST)
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