ERCP在胆管良性疾病治疗中的作用  

The Role of ERCP in the Treatment of Biliary Benign Diseases

作　　者：张姮[1] 黄晓东[1] 吴杰[1] 王萍[1] 刘文敏[2] 

机构地区：[1]武汉市中心医院消化内科,武汉430014 [2]武汉市中心医院内窥镜中心,武汉430014

出　　处：《华中科技大学学报（医学版）》2009年第3期368-370,共3页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

摘　　要：目的探讨逆行性胰胆管造影(ERCP)在胆管良性疾病治疗中的作用及临床价值。方法226例胆管良性疾病患者中,胆总管蛔虫1例,Oddi括约肌运动功能障碍12例,胆管炎性狭窄13例,手术损伤继发胆管狭窄2例,胆漏3例,胆总管结石195例,通过ERCP了解胆管良性疾病的类别、部位与性质,再采用内镜下乳头肌切开术(EST)、取石术、胆管扩张术、内镜鼻胆管引流术(ENBD)、内镜逆行胆管引流术(ERBD)等方法治疗。结果226例患者中有223例成功,成功率98.7%,手术相关的并发症16例(7.08%)。结论ERCP及相关技术治疗胆管良性疾病成功率高、并发症少、安全,是治疗胆管良性疾病的首选方法。Objective To explore the clinical value of ERCP in the treatment of biliary benign diseases. Methods 226 patients with biliary benign diseases underwent ERCP to identify the category, location and character of biliary diseases, and then received endoscopic naso-biliary drainage （ENBD）, endoscopic retrograde biliary drainage （ERBD） and endoscopic sphincterotomy （EST）, etc. Among the 226 patients, there were 1 case of common bile duct ascaris, 12 cases of sphincter of Oddi dysfunction, 13 cases of biliary inflammatory stricture, 2 cases of biliary stricture secondary to surgery injury, 3 cases of bile leakage, and 195 cases of choledocholithiasis. Results Of the 226 patients, jaundice disappeared in 223 （98.7%） by ERCP. Sixteen patients （7.08%） developed complications related to the ERCP. Conclusion ERCP and related technology in biliary benign diseases is safe, and has high success rate and low complications. It is the first choice in treating biliary benign diseases.

关 键 词：胆管良性疾病 逆行性胰胆管造影 

分 类 号：R575.7[医药卫生—消化系统]