内镜下抽线式金属支架取出胰管结石——附3例报告  

Thread-like metal stent for extraction of pancreatic duct stones in chronic pancreatitis

作　　者：杨秀疆[1] 谢渭芬[1] 林勇[1] 蔡洪培[1] 沈建伟[1] 王一平[1] 施斌[1] 任大宾[1] 庄蕙[1] 

机构地区：[1]第二军医大学长征医院消化科,上海200003

出　　处：《胰腺病学》2007年第6期363-365,共3页Chinese JOurnal of Pancreatology

摘　　要：目的设计抽线式胰管金属支架,以利于取出胰管结石。方法收集3例确诊胰管结石并胰管远端狭窄,且ERCP取石失败者,应用十二指肠镜在主胰管置入抽线式金属支架,24～48h后再次ERCP取石。结果3例患者主胰管结石直径1～1.5cm,造影显示胰管远端狭窄。先置入抽线式胰管金属支架,24～48h后金属支架完全膨胀,插入气囊顺利取出全部结石,再将金属支架抽成丝样经活检孔取出。术后无出血、嵌顿、胰腺炎等并发症发生。结论内镜下胰管内置入抽线式金属支架取石,安全、有效,费用低廉,增加了胰管取石的成功率。Objective To evaluate the effect of endoscopic management for pancreatic duct stones in patients with chronic pancreatitis by thread-like metal stent.Methods Three patients with chronic pancreatitis and pancreatic duct stones were treated by inserting metal stent in pancreatic duct after the failure of conventional ERCP,24 ～ 48 hours later,another attempt of stone extraction was made.Results Three patients＇ stone in diameter were between 10mm and 15mm and distal pancreatic duct stenosis were confirmed by contrast injection.Technical success was achieved in all of the three patients,24 ～ 48 hours later,the stones were extracted,and then the metal stents were removed.There were no serious complications after metal stent inserting and removal.Conclusions Extracting pancreatic stones by metal stent is safe,effective,and inexpensive with high success rate.

关 键 词：胰腺炎 慢性 支架 胰管结石 内窥镜 

分 类 号：R657[医药卫生—外科学] R5[医药卫生—临床医学]