无痛ERCP治疗胆总管结石86例临床分析  

Clinical Analysis of Non-pain ERCP Therapy for Common Duct Stones (86 Cases)

作　　者：吴以龙[1,2,3] 陈丹凤[1,2,3] 李莉[1,2,3] 林敏[1,2,3] 林卫星[1,2,3] 杨沱[1,2,3] 黄丽静[1,2,3] 黄兆许[1,2,3] 

机构地区：[1]福鼎市医院消化内科 [2]福建医科大学 [3]福鼎市医院教学点,355200

出　　处：《中国消化内镜》2009年第4期30-32,共3页Digestive Disease and Endoscopy

摘　　要：目的探讨无痛内镜逆行性胰胆管造影下乳头括约肌切开及取石治疗胆总管结石的临床效果。方法对确诊86例胆总管结石者在静脉麻醉下先行ERCP检查,再采用EST或/球囊扩张、碎石网篮、取石网篮或/和球囊取石、鼻胆管引流(Endoscopic Nasobiliary Drainage,ENBD)或/胆道塑料支架引流等治疗方法。结果内镜下取石成功81例,成功率94.2%,失败5例。13例出现一过性高淀粉酶血症,症状轻微,无特殊处理。结论无痛ERCP下治疗胆总管结石有利于检查和治疗的顺利进行,安全有效,恢复快。Objective： The discussion of the clinical effect of the sphincterotomy and the taking cholcdoch stone treatment under the non-pain endoscopic retrograde cholangio-pancreatography （ERCP）. Methods： The 86 patients of common duct stones examined with ERCP that was intravenous anesthesia in advance, then uses EST or/the balloon valvuloplasty, the basket of stone comminution, the basket of taking stone/and the ball pouch takes stone, endoscopic naso-biliary drainage （ENBD） or/ERBD and other treatment. Results： 81 suceesful cases was taken stone under endoscopic, the success ratio was 94.2%, 5 cases was failure, without special handling. Conclusions： Non-pain ERCP, the treatment of common duct stones is benefit for the smooth of examination and treatment,safety and effective, also restores quickly.

关 键 词：静脉麻醉 ERCP 胆总管结石 EST 

分 类 号：R735.8[医药卫生—肿瘤] R657.42[医药卫生—临床医学]