超声导向乳头括约肌切开取石术治疗急性胆管炎  

Endoscopic sphincterotomy guided by Ultrasound to treat acute cholangitis due to common bile duct stones

作　　者：王曼彤[1] 王宏光[1] 蒋里[1] 

机构地区：[1]吉林市第二中心医院,吉林省吉林市132001

出　　处：《中国厂矿医学》2005年第6期484-485,共2页Chinese Medicine of Factory and Mine

摘　　要：目的确定是否能够在B型超声引导下行内镜乳头括约肌切开胆总管取石术治疗急性胆管炎.方法以93例胆总管结石合并急性胆管炎的患者作为研究对象,胆总管结石的数目≤2枚,内镜下乳头括约肌切开及胆总管取石过程均在超声引导下完成.结果超声导向下内镜乳头括约肌切开胆总管取石术成功率为95.7%(89/93),并发症发生率为5.4%(5/93).结论对于胆总管内有1～2枚结石病的病人,行B型超声引导内镜下乳头括约肌切开胆总管取石术是安全、有效的.Objective To determine whether endoscopic sphincterotomy guided by Ultrasound could be used for patients with acute cholangltis due to common bile duct stones. Methods A total of 93 patients with acute cholangitis and bile duct stones were included in the study. They had only one or two stones. The endoscopic sphincterotomy and stone extraction were guided by Ultrasound. Results The success rate for endoscopic sphincterotomy and stone - extraction was 95.7% （83/93）. The complication rate was 5.4% （5/93）. Conclusions Sphincterotomy and stone - extraction process guided by Ultrasound is a safe and effective alterative to ERCP in removing one or two stones in the common bile duct.

关 键 词：超声导向 内镜下乳头肌切开取石术 急性胆管炎 

分 类 号：R657.45[医药卫生—外科学]