胃BillrothⅡ式术后胆管结石内镜治疗的研究  

Endoscopic treatment of bile duct lithiasis after Billroth-Ⅱ gastrectomy

作　　者：张光全[1] 王勇强[2] 郑强[1] 杨勇[2] 徐荣华[1] 宋念[2] 廖忠[1] 陈红[2] 吴先麟[1] 何芳[1] 蒲成容[1] 

机构地区：[1]四川省成都市第六人民医院肝胆外科,四川成都610051 [2]四川省成都市第一人民医院普通外科,四川成都610041

出　　处：《中国普通外科杂志》2010年第2期113-116,共4页China Journal of General Surgery

基　　金：四川省卫生厅基金资助项目(070366)

摘　　要：目的探讨对胃毕Ⅱ式术后胆管结石者行ERCP检查及治疗的方法。方法在137例胃毕Ⅱ式术后患者进行ERCP检查的同时对34例行内镜乳头括约肌切开(EST)及4例经内镜乳头气囊扩张术(EPBD)取石。结果137例ERCP中成功109(79.6%)例,失败28(20.4%)例。34例EST和4例EPBD后取石治疗,成功35(92.1%)例。并发消化道大出血4例。全组诊疗中无消化道穿孔及死亡病例。结论对胃毕Ⅱ式术后胆管结石者可成功实施ERCP检查及EST治疗,有临床实用价值。Objective To evaluate the value of endoscopic treatment of bile duct lithiasis after Billroth-II gastreetomy. Methods ERCP was used in 137 patients with bile duct lithiasis after Billroth-II gastrectomy. Of the 137 patients, 34 received EST and 4 EPBD. Results ERCP was successfully performed in 109 of the 137 cases （79.6%） , and falled in 28 （20.4%） . Among 34 patients who had EST and 4 patients who had EPBD, stone extrection was successful in 35 cases （92. 1% ） , and complicated by GI bleeding in 4 cases. There were no cases of GI perforation or death. Conclusions The successful rate of EST is high in patients with bile duct lithiasis after Billroth-II gastrectomy, and endoscopic treatment has good therapeutic effects.

关 键 词：胆结石/治疗 胃毕Ⅱ式术后 括约肌切开术 内窥镜 

分 类 号：R657.4[医药卫生—外科学]