内镜下乳头括约肌切开术的远期疗效观察及其并发症的相关危险因素分析  

Long-term efficacy of endoscopic papillosphincterotomy and the risk factors for complications

作　　者：樊超[1] 于良[1] 孙昊[1] 

机构地区：[1]西安交通大学医学院第一附属医院肝胆外科,陕西西安710061

出　　处：《西安交通大学学报（医学版）》2009年第1期103-106,共4页Journal of Xi’an Jiaotong University（Medical Sciences）

摘　　要：目的探讨内窥镜下十二指肠乳头括约肌切开术(endoscopic sphincterotomy,EST)对胆总管结石、十二指肠乳头狭窄等疾病的治疗效果,并对术后出现的远期并发症的可能危险因素进行分析。方法收集我院2005年1月至2006年12月间行EST治疗的158例患者的临床病例资料,对其中资料完整的103例患者进行资料统计分析。结果出现远期(≥术后3月)并发症者13例,发生率为12.6%。其中,胆总管结石复发者8例,有6例伴随胆管炎反复发作;单纯胆管炎1例;出现结石性胆囊炎2例;胆管结石残留1例;慢性胰腺炎1例。结论EST是治疗胆道梗阻的安全、可靠的方法。术前患者黄疸可能是引起远期并发症的危险因素。Objective To evaluate the efficacy and safety of endoscopic sphincterotomy （EST） in treating common bile duct stone or strictive papillitis, and then analyze possible related risk factors for long-term complications after EST. Methods We made a retrospective study of 103 out of 158 patients who had EST from January 2005 to December 2006. Results In the 103 patients, there were 13 cases of long-term complications（≥3 m after EST）, the incident rate being 12.6 % ： recurrent calculus of common bile duct in 8 cases, combined cholangitis in 6; cholangitis in 1; acute calculus cholecystitis in 2; residual calculus in 1 case; chronic pancreatitis in 1 case. Conclusion Endoscopic papillosphincterotomy is an effective and safe way to treat biliary tract obstruction. Preoperative jaundice may be the risk factor inducing long-term complications after EST.

关 键 词：括约肌切开术 内窥镜 胆总管结石 十二指肠乳头狭窄 远期并发症 

分 类 号：R656[医药卫生—外科学]