双导丝技术用于插管困难型ERCP的临床应用研究  

The experience of using double guide wire technology in the difficult ERCP examination

作　　者：杨卓[1] 麻树人[1] 张宁[1] 赵云峰[1] 赵志峰[1] 潘汝明[1] 高飞[1] 韩笑[1] 高峰[1] 张迎春[1] 宫照杰[1] 杨琳[1] 常丽雅[1] 胡馨予[1] 袁爱娇[1] 孙亚男[1] 金小龙[1] 

机构地区：[1]沈阳军区总医院全军消化内镜中心,沈阳110016

出　　处：《中国实用内科杂志》2009年第11期1042-1043,共2页Chinese Journal of Practical Internal Medicine

摘　　要：目的探讨双导丝技术在困难经内镜逆行胰胆管造影(ERCP)检查中的应用体会。方法776例困难ER-CP患者中701例胆道插管困难者采用先保留胰管导丝,再从胰管导丝左上角插入胆道导丝的方法进行胰胆管造影;75例胰管插管困难者采用先保留总胆管导丝,再从胆道导丝右侧垂直于十二指肠乳头方向插入胰管导丝的方法进行胰胆管造影。结果701例胆道插管困难者首次ERCP检查成功697例(99.4%,697/701);75例胰管插管困难者中74例(98.7%,74/75)首次检查成功。结论ERCP双导丝技术运用简易,首先选择容易插管的胆管或胰管留置导丝可提高对侧管道的插管成功率,使检查时间明显缩短。Objective To explore the experience of the double guide wires technology in the difficult ERCP examinations. Methods There were 776 difficult ERCP patients. 701 cases with difficult cannulation of the bile duct had been inserted another guide wire into the upper left comer of the duodenal papilla after retained pancreatic guide wire. 75 cases with dif- ficult cannulation of the pancreatic duct had been inserted another guide wire into the right vertical direction of the duode- nal papilla after retained a guide wire into the commom bile. Results 697cases（99.4% ） with difficult eannulation of the bile duet were examined successfully at first time ;74 cases （98. 7% ）with difficult cannulation of the pancreatic duct were examined successfully at first time. Conclusion Double guide wires technology is easy to use. The method of retaining a guide wire into the duct which was cannulated easily may increases the achievement ratio of cannulation into another duet. The cheek time was shortened significantly.

关 键 词：胰胆管造影 逆行 内镜 双导丝 

分 类 号：R5[医药卫生—内科学]