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98例内镜下逆行胰胆管造影加取石术诊治胆总管结石临床分析
引用本文:王建,刘志刚,胡雪峰.98例内镜下逆行胰胆管造影加取石术诊治胆总管结石临床分析[J].哈尔滨医药,2007,27(3):5-6.
作者姓名:王建  刘志刚  胡雪峰
作者单位:哈尔滨242医院,黑龙江,哈尔滨,150066
摘    要:目的 评价内镜下逆行胰胆管造影(EPCP)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
文章编号:1001-8131(2007)03-0005-02
修稿时间:2007-04-16

Diagnostic and therapeutic value of endoscopic retrograde cholangio Pancreatography and endoscopic sphincterotomy for choledocholithiasis
WANGJian,LIU Zhi gang,HU Xue feng.Diagnostic and therapeutic value of endoscopic retrograde cholangio Pancreatography and endoscopic sphincterotomy for choledocholithiasis[J].harbin medical journal,2007,27(3):5-6.
Authors:WANGJian  LIU Zhi gang  HU Xue feng
Institution:Harbin 242 Hospital Hei long jiang 150066,China
Abstract:Objective To evaluate the diagnostic and therapeutic value of endoscopic retrograde cholangio pancreatography (ERCP):and endoscopic sphincterotomy(EST)for choleocholi thiasis.Methods Ninety-eight choleocholithiasis patients diagnosed through Bultrasonic were performed ERCP and EST.All the imaging data were analyzed retrospectively.Results As the result of ERCP,among ninety-eight cases,ninety-six were choleocholithiasis.one case was suspected eholeocholithiasis and one case was normal,with the diagnostic accuracy 97.9%.EST was successful for ninety-six cases,failure for one.Conclusion ERCP has important value in diagno sing choleocholithiasis and EST is one of safe,reliable and simple therapeutie methods.
Keywords:choleocholithiasis/surgical  endoscopic retrograde cholangio panereatography(ERCP)  endoscopic sphincterotomy(EST)
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