EPBD术与EST术在十二指肠乳头旁憩室合并胆总管结石治疗中的对比研究  

作　　者：张文杰[1] 王雪峰[2] 顾钧[2] 庄明[2] 刘颖斌[2] 储冰峰[2] 

机构地区：[1]温州医学院,325000 [2]上海交通大学医学院附属新华医院,200092

出　　处：《浙江临床医学》2010年第4期350-352,共3页Zhejiang Clinical Medical Journal

摘　　要：目的比较内镜下气囊扩张术（EPBD）和内镜下乳头括约肌切开术（EST）治疗十二指肠乳头旁憩室合并胆总管结石的应用价值。方法对68例十二指肠乳头旁憩室合并胆总管结石患者进行内镜下治疗，其中38例行EPBD术，30例行EST术。结果结石取净率，EPBD术比EST术更加有效（分别为97％和81％，P=0．027）；EPBD组总的并发症和胰腺炎并发症分别为5．3％和5．3％，明显低于EST组的20％和13．3％（P值分别为0．024和0．028）。结论EPBD术治疗十二指肠乳头旁憩室合并胆总管结石比EST术操作方便、简单，且安全、有效。Objective To compare the curative methods and value of endoscopic papillary balloon dilation and sphincterotomy for periampallary diverticula combined with common bile duct stones. Method Sixty - eight patients with periampallary diverticula combined with common bile duct stones underwent ballon dilation （n = 38 ） or sphincterotomy （n = 30）. Result Balloon dilation was more effective than Sphineterotomy in stone clearance （97% vs 81% , P = 0. 027 ） , The rate of overall complications and pancreatitis （ 5.3% and 5.3% ） was lower after balloon dilation than after Sphincterotomy （ 20% and 13.3% ） （ P = 0. 024 and O. 028 ,respectively） Conclusion Balloon dilation is more effective and safer than sphincterotomy for periampallary diverticula combined with common bile duct stones. As balloon dilation is easier to perform, it may be the preferred treatment for those patients.

关 键 词：十二指肠乳头旁憩室 胆总管结石 内镜下乳头气囊扩张术 内镜下十二指肠乳头括约肌切开术 

分 类 号：R656.64[医药卫生—外科学]