腹腔镜胆囊切除术前联合应用EST和ENBD治疗27例  

Value of endoscopic sphincterotomy and endoscopic nasobiliary drainage before laparoscopic cholecystectomy

作　　者：展鹏远[1] 李江琳[1] 郑兰东[1] 夏荣龙[1] 韩大正[2] 

机构地区：[1]河南大学第一附属医院普外科,河南开封475001 [2]河南大学第一附属医院消化内科内镜室,河南开封475001

出　　处：《第四军医大学学报》2005年第16期1493-1495,共3页Journal of the Fourth Military Medical University

摘　　要：目的:探讨内镜下括约肌切开术(EST)和内镜鼻胆管引流术(ENBD)联合应用在腹腔镜胆囊切除术(LC)前的应用价值.方法:合并胆总管结石患者27例先行ERCP证实胆总管结石后行EST,用取石囊、取石篮、碎石器等器械取出胆总管结石,并留置ENBD管.1～3 d后行LC术.结果:有25例患者共取出胆总管结石45枚,取石成功率93%,另2例未成功,其中1例胆总管狭窄段大于2 cm,另一例结石嵌顿,导丝无法通过.1例EST后合并轻度急性胰腺炎,经积极治疗后仍行LC术,LC成功率100%,25例患者平均住院时间(8±3)d.结论:LC术前联合应用EST,ENBD微创治疗胆囊结石并胆总管结石具有良好的应用价值.AIM： To evaluate the application value of endoscopic sphincterotomy （EST） and endoscopic nasobUiary drainage （ENBD） before laparoscopic cholecystectomy （LC）. METHODS： Twenty-seven cases of EST were performed before LC. RESULTS： Forty-five blocks of bile ducts stones were taken out from 2.5 cases and the success rate was 92.25%. After EST, 1 case had the complication of mild acute pancreas inflammation and LC was performed after treatment. Two cases failed, in one of which the length of the narrow bile ducts was more than 2cm and in the other the lead could not pass. The success rate of LC was 100% and the average hospital stay time was （8 ± 3 ） d. CONCLUSION： The combined use of EST and ENBD before LC is of good value in treating gall bladder stones with common bile duct stones.

关 键 词：内镜下括约肌切除术 内镜下鼻胆管引流术 胆囊切除术 腹腔镜 

分 类 号：R575.7[医药卫生—消化系统]