经内镜气囊扩张治疗胆总管结石的近期并发症分析  

ANALYSIS OF THE SHORT-TERM COMPLICATIONS IN ENDOSCOPIC PAPILLARY BALLOON DILATION FOR REMOVAL OF COMMON BILE DUCT STONES

作　　者：苏进根[1] 王建平[1] 陆奕宁[1] 朱堃[1] 陆惠清[1] 

机构地区：[1]上海医药高等专科学校附属嘉定区中心医院普外科,上海201800

出　　处：《肝胆外科杂志》2009年第6期444-445,共2页Journal of Hepatobiliary Surgery

摘　　要：目的评估经内镜气囊扩张治疗胆总管结石的疗效和分析其近期并发症。方法回顾性分析我院95例经内镜气囊扩张治疗的胆总管结石病例资料,分析结石清除率及并发症的防治。结果取石成功率97.9%,术后出现一过性高淀粉酶血症10例,其中急性胰腺炎5例(5.3%),经药物治疗后痊愈,无一例发生胆道感染、出血、穿孔等严重并发症。结论经内镜气囊扩张治疗胆总管结石疗效高、并发症低,是安全有效的微创治疗措施。Objective To evaluate the clinical effect and analyze the complications of endoscopic papillary balloon dilatation （EPBD） in the treatment of common bile duct stones. Methods Ninety-five patients with common bile duct stones were analysed retrospectively, and the success rates for duct clearance as well as the frequency of short-term complications were evaluated. Results Duct clearance was achieved in 97.9%. Short-term complications, including acute pancreatitis, appeared in five patients （ 5.3% ）. None of cholangitis,perforation and hemorrhage happended. Conclusion EPBD was safe and effective minimally invasive alternative in successful clearance of bile duct stones, and post-operative short-term complications is acceptable.

关 键 词：内镜下乳头气囊扩张术 胆总管结石 并发症 

分 类 号：R657.3[医药卫生—外科学]