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乳头小切开合利胆排石中药治疗胆总管结石疗效观察
引用本文:王长洪,杨卓,麻树人,张宁,王立新,李顺明,杨琳,常丽娅,宫照洁,林一帆,陈山泉,陆宇平,高文艳,刘杨,朱虹.乳头小切开合利胆排石中药治疗胆总管结石疗效观察[J].中国中西医结合消化杂志,2006,14(1):20-22.
作者姓名:王长洪  杨卓  麻树人  张宁  王立新  李顺明  杨琳  常丽娅  宫照洁  林一帆  陈山泉  陆宇平  高文艳  刘杨  朱虹
作者单位:1. 沈阳军区总医院,中医科,辽宁,沈阳,110016
2. 沈阳军区总医院,消化内镜中心,辽宁,沈阳,110016
3. 沈阳军区总医院,肝胆外科,辽宁,沈阳,110016
摘    要:目的]观察内镜下乳头小切开联合利胆排石中药治疗胆总管结石的临床疗效。方法]对253例胆总管结石患者行内镜下乳头小切开术,同时行网篮取石术,术后给予利胆排石中药治疗。结果]内镜下逆行胰胆管造影、乳头小切开及胆总管取石术成功率100%,治疗后黄疸、腹痛等临床症状、体征均迅速减轻或消失,无一例发生并发症,其中21例伴急性化脓性胆管炎及32例伴胆源性胰腺炎亦全部治愈。结论]内镜下乳头小切开术联合利胆排石中药治疗胆总管结石安全、有效、可靠。

关 键 词:胆总管结石  乳头小切开术  利胆排石
文章编号:1671-038X(2006)01-0020-03
收稿时间:2005-02-02
修稿时间:2005-02-02

Effect of endoscopic sphincteropapillotomy combined with Chinese herbs on choledocholithiasis
WANG Chang-hong,YANG Zhuo,MA Shu-ren,ZHANG Ning,WANG Li-xin,LI Shun-ming,YANG Lin,CHANG Li-ya,GONG Zhao-jie,LIN Yi-fan,CHEN Shan-quan,LU Yu-ping,GAO Wen-yan,LIU Yang,ZHU Hong.Effect of endoscopic sphincteropapillotomy combined with Chinese herbs on choledocholithiasis[J].Chinese Journal of Integrated Traditional and Western Medicine on Digestion,2006,14(1):20-22.
Authors:WANG Chang-hong  YANG Zhuo  MA Shu-ren  ZHANG Ning  WANG Li-xin  LI Shun-ming  YANG Lin  CHANG Li-ya  GONG Zhao-jie  LIN Yi-fan  CHEN Shan-quan  LU Yu-ping  GAO Wen-yan  LIU Yang  ZHU Hong
Institution:1 Department of TCM, the General Hospital of Shenyang Military Region,Shenyang 110016, China; 2 The Digestive Endoscopic Centre of Shenyang Military Region, Shenyang 110016, China; 3 Department of H epatobiliary Surgery, the General Hospital of Shenyang Military Region, Shenyang 110016, China
Abstract:Objective] To observe the treatment effects of endoscopic sphincteropapillotomy(EST)combined with Chinese herbs on choledocholithiasis.Methods] Two hundred and fifty-three patients were defined as choledocholith through ERCP,treated with EST to pull choledocholiths out,then given Chinese herbs decoction.None of complications occurred.Results] The success rate of ERCP and EST was 100%.All patients` symptoms were resolved or reduced after treatment.Twenty-one cases of acute obstructive suppurative cholangitis and thirty-two cases of acute pancreatitis were all cured.Conclusion]EST combined with Chinese herbs decoction is a safe,effective and credible therapeutic option for choledocholithiasis.
Keywords:choledocholithiasis  endoscopic sphincteropapillotomy  choleretic treatment
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