乳头小切开合利胆排石中药治疗胆总管结石疗效观察  

Effect of endoscopic sphincteropapillotomy combined with Chinese herbs on choledocholithiasis

作　　者：王长洪[1] 杨卓[1] 麻树人[2] 张宁[2] 王立新[1] 李顺明 杨琳[2] 常丽娅[2] 宫照洁[2] 林一帆[1] 陈山泉[1] 陆宇平[1] 高文艳[1] 刘杨[1] 朱虹[1] 

机构地区：[1]沈阳军区总医院中医科,辽宁沈阳110016 [2]沈阳军区总医院消化内镜中心,辽宁沈阳110016 [3]沈阳军区总医院肝胆外科,辽宁沈阳110016

出　　处：《中国中西医结合消化杂志》2006年第1期20-22,共3页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

摘　　要：[目的]观察内镜下乳头小切开联合利胆排石中药治疗胆总管结石的临床疗效。[方法]对253例胆总管结石患者行内镜下乳头小切开术,同时行网篮取石术,术后给予利胆排石中药治疗。[结果]内镜下逆行胰胆管造影、乳头小切开及胆总管取石术成功率100%,治疗后黄疸、腹痛等临床症状、体征均迅速减轻或消失,无一例发生并发症,其中21例伴急性化脓性胆管炎及32例伴胆源性胰腺炎亦全部治愈。[结论]内镜下乳头小切开术联合利胆排石中药治疗胆总管结石安全、有效、可靠。[Objective] To observe the treatment effects of endoscopic sphincteropapillotomy （EST）combined with Chinese herbs on choledocholithiasis.[Methods] Two hundred and fiftythree patients were defined as choledocholith through ERCP, treated with EST to pull choledocholiths out,then given Chinese herbs decoction. None of complications occurred. [Results] The success rate of ERCP and EST was 100%. All patients＇ symptoms were resolved or reduced after treatment. Twenty-one cases of acute obstructive suppurative eholangitis and thirty-two cases of acute panereatitis were all cured. [Conclusion] EST combined with Chinese herbs decoction is a safe, effective and credible therapeutic option for eholedoeholithiasis.

关 键 词：胆总管结石 乳头小切开术 利胆排石 

分 类 号：R575.7[医药卫生—消化系统]