稀钡检测十二指肠乳头括约肌切开术后患者乳头功能  

Thin barium meal examination of papilla function after endoscopic sphincterotomy

作　　者：叶萍[1] 李兆申[1] 邹多武[1] 许国铭[1] 卢任华[1] 徐晓蓉[1] 

机构地区：[1]第二军医大学附属长海医院消化内科,上海200433

出　　处：《中华消化内镜杂志》2006年第2期94-97,共4页Chinese Journal of Digestive Endoscopy

摘　　要：目的 采用X线稀钡剂检测十二指肠乳头括约肌切开术（EST）后患者乳头功能的改变.方法 自2001年8月至2003年12月,对89位EST取石术患者检测乳头功能的改变,EST切口大小0.5～1.5 cm,分别于EST术后1周、6个月、1年,采用X线下服用稀钡检查,了解胆管内气体和钡剂向胆管内的反流情况,来判断乳头的功能.结果 X线稀钡钡餐检查术后1周、6个月和1年出现的气体反流者分别为21.3%（19/89）、13.9%（5/36）和13.0%（3/23）;钡剂反流者分别为12.4%（11/89）、8.3%（3/36）和8.7%（2/23）.EST切口大于1.1 cm的19例患者中9例有气体反流,占47.4%,钡剂反流7例,占36.8%.气体和钡剂混合反流的患者5例,其中EST切口为1.2 cm者2例,EST切口为1.5 cm患者3例.结论 稀钡检测十二指肠乳头括约肌切开术后患者乳头功能是一种有效的检测方法.EST术后患者乳头内气体和钡剂向胆管内反流的发生率与EST切口大小密切相关.Objective To assess short term results of papilla functional status after endoscopic sphincterotomy （EST） with thin-barium meal examination. Methods From August, 2001 to December, 2003, eighty-nine patients were included for endoscopic sphincterotomy. Size of EST was （0. 5～ 1.5 ） cm. Patients were prospectively followed on the short term-period （7 days, 6 months and 1 year） by clinical and thin-barium（ 100/100 V/W） meal examination which would be observed biliary gas and barium reflux from duodenal papilla. Results The patient number of gas reflux shows： 19 of 89 cases （2l. 3% ） in one week, 5 of 36 cases（ 13.9% ） in six months, 13 of 23 cases （ 13.0% ） in one year; barium reflux with thin-barium meal examination shows： 11 of 89 cases（ 12.4% ） in one week, 3 of 36 cases（ 8.3% ） in six months, 2 of 23 cases（8. 7% ） in one year. In the size of EST more than 1.1 cm, these were nine patients （47.4%） with gas reflux, and seven patients （36. 8% ） with barium reflux, and five patients with gas-barium mix reflux. 6 month and 1 year after sphincterotomy, includes EST size 1.2 cm,2 cases and 1.5 cm,3 cases. Conclusion Thin-barium meal examination of papilla function after endoscopic sphincterotomy is an efficient procedure. Incidence rate of gas reflux and thin barium reflux were closely related to the size of EST.

关 键 词：十二指肠乳头括约肌切开术 X线稀钡钡餐 气体反流 钡剂反流 随访 

分 类 号：R657.4[医药卫生—外科学]