经内镜乳头括约肌大口切开治疗胆总管末端炎性狭窄  

Treatment of Choledochoodditis by Endoscopic Longer-sphincterotomy

作　　者：李玉民[1] 李汛[1] 李世雄[1] 周文策[1] 芦国芳[1] 

机构地区：[1]兰州医学院第一附属医院普外科,甘肃兰州730000

出　　处：《生物医学工程与临床》2001年第3期141-142,共2页Biomedical Engineering and Clinical Medicine

摘　　要：目的　对 80例胆总管末端炎性狭窄进行了内镜乳头括约肌切开 (EST)治疗。方法　 4 0例行中小切开 ,EST术后行 2年内的临床追踪观察。结果　大口切开组 2年后乳头形态呈裂孔状 ,中小切口组乳头形态为裂隙状 ;大口切开组症状复发者为 5 % ,中小切开组为 2 2 5 % (P <0 .0 5 )。两组近期并发症相同。结论　内镜乳头括约肌大口切开治疗胆总管末端炎性疗效可靠。Objective Eighty cases with choledochoodditis were treated with endoscopic sphincterotomy(EST).Methods Forty cases were treated by endoscopic longer sphincterotomy and the other 40 cases by sphincterotomy of middle-short length for control. All cases with EST were followed up for two years.Results In longer sphincterotomy group, the papillae appeared like lock hole and the clinical recurrence rate was 5%. In control group, the papillae appeared shrunken chink, and the clinical recurrence rate was 22.5 %(P<0.05). In two group, their short term complications were similar.Conclusion The longer sphincterotomy is effective and reliable for treating choledochoodditis.

关 键 词：内镜乳头括约肌切开 胆总管末端炎性狭窄 治疗 

分 类 号：R657.4[医药卫生—外科学]