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总胆管结石的内镜下治疗(附596例临床分析)
引用本文:赵亚刚,孙大勇,周梅花,宋鸿,曾海平,过利波. 总胆管结石的内镜下治疗(附596例临床分析)[J]. 中国消化内镜, 2008, 0(3): 1-4
作者姓名:赵亚刚  孙大勇  周梅花  宋鸿  曾海平  过利波
作者单位:广州军区广州总医院消化内科;510010;
摘    要:目的 分析内镜下乳头括约肌切开(EST)及取石对总胆管结石的治疗作用。方法 对596例各类型总胆管结石病人先行ERCP后,再采用EST、机械碎石、取石网篮或/和球囊取石、鼻胆管引流等方法治疗。结果 EST成功率为97.8%(583/596例),内镜取石总成功率为96.3%(574/596例),并发症发生率为4.5%(26/583例)。结论 内镜下治疗总胆管结石安全、有效、经济,并发症少,是目前治疗总胆管结石的理想方法。

关 键 词:总胆管结石  内镜/治疗  ERCP  括约肌切开术

Clinical Analysis of Endoscopic Treatment of Common Bile Duct Stone(596 Cases Report)
ZHAO Ya-gang SUN Da-yong ZHOU Mei-hua SONG Hong ZENG Hai-ping GUO Li-bo. Clinical Analysis of Endoscopic Treatment of Common Bile Duct Stone(596 Cases Report)[J]. Digestive Disease and Endoscopy, 2008, 0(3): 1-4
Authors:ZHAO Ya-gang SUN Da-yong ZHOU Mei-hua SONG Hong ZENG Hai-ping GUO Li-bo
Affiliation:ZHAO Ya-gang SUN Da-yong ZHOU Mei-hua SONG Hong ZENG Hai-ping GUO Li-bo Department of Gastroenterology,Guangzhou General Hospital of Guangzhou Military Comm,,Guangzhou,510010,China
Abstract:Objective:To analyze the treatment effect of endoscopic sphincterotomy(EST) on common bile duct stone.Methods:After using endoscopic retrograde cholangiopancreatography(ERCP) on 596 patients with different kinds of choledocholithiasis,we adopt EST,broken stone into small pieces,and finally brought the broken stones out with basket,sacculus and endoscopic nasobiliary drainage(ENBD).Results:The achievement ratio of EST and bringing stone out with endoscope was 97.8%(583/596) and 96.3%(574/596).The incidence r...
Keywords:Common bile duct stone  Endoscopy/therapy  ERCP  EST  
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