| 十二指肠乳头括约肌切开术治疗胆胰疾病 |
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| 引用本文： | 陈敏,周永碧,李智华,刘吉奎. 十二指肠乳头括约肌切开术治疗胆胰疾病[J]. 第三军医大学学报, 2000, 22(2): 192-193 |
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| 作者姓名： | 陈敏 周永碧 李智华 刘吉奎 |
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| 作者单位： | 第三军医大学附属西南医院肝胆外科中心,重庆,400038 |
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| 摘 要： | 目的：探讨十二指肠乳头括约肌切开术（ＥＳＴ）在治疗肝胰疾病中的作用。方法：回顾性总结１９８７年７月至１９９９年１０月间实施的７１２次ＥＳＴ。结果：ＥＳＴ治疗缩窄性乳头炎２７８例，成功率９７．０％；继发性胆总管结石５５９例，结石排出率９７．１％；因缩窄性乳头炎所致的慢性阻塞性胰腺炎４５例，症状缓解率８６．７％；Ｏｄｄｉ扩约肌功能障碍１２例，成功率９１．７％。ＥＳＴ后重症胰腺炎、胆管炎、切口出血等并发
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| 关 键 词： | 十二指肠 乳头括约肌 切开术 胆胰疾病 |
Value of Endoscopic papillo-sphincterotomy in the management of cholangiopancreatic diseases |
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| CHEN Min,ZHOU Yong-bi,LI Zhi-hua,LIU Ji-kui. Value of Endoscopic papillo-sphincterotomy in the management of cholangiopancreatic diseases[J]. Acta Academiae Medicinae Militaris Tertiae, 2000, 22(2): 192-193 |
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| Authors: | CHEN Min ZHOU Yong-bi LI Zhi-hua LIU Ji-kui |
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| Affiliation: | CHEN Min, ZHOU Yong-bi, LIZhi-hua, LIU Ji-kui(Department of Hepatobiliary Surgery, Southwest Hospital, Third Military MedicalUniversity, Chongqing 400038) |
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| Abstract: | Objective:To investigate the value of Endoscopic papillo sphincterotomy (EST) in the management of cholangiopancreatic diseases. Methods: 712 cases treated with EST from July, 1987 to October, 1999 were reviewed. A retrospective analysis of therapeutic effect was made. Results:The rates of success of EST in management of constrictive papillitis and functional disturbance of Oddi's sphincter were 97.0%(278/288) and 91.7%(11/12) respectively. Symptoms of 86.7%(39/45) patients with chronic obstructive pancreatitis caused by constrictive papillitis were alleviated and common bile duct stone was removed in 543 out of 559 patients (97.1%) after EST. The incidence of complications (severe pancreatitis, cholangiotitis and hemorrage) following EST was 1.4%. No patient died in our group. Conclusion:EST is an ideal and mini traumatic treatment for some cholangiopancreatic diseases. |
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| Keywords: | EST cholangiopancreatic disease |
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