经内镜乳头气囊扩张术治疗胆总管结石102例分析  

Endoscopic papillary balloon dilation for removal of 102 cases of common bile duct stones

作　　者：苏进根[1] 王建平[1] 陆奕宁[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,201800

出　　处：《腹部外科》2010年第2期89-90,共2页Journal of Abdominal Surgery

摘　　要：目的分析经内镜气囊扩张治疗胆总管结石的疗效和近期并发症。方法回顾性分析2003年3月至2009年5月经内镜气囊扩张治疗胆总管结石102例的疗效及并发症的防治。结果本组取石成功率为98.0%。术后出现一过性高淀粉酶血症11例,其中急性胰腺炎5例(4.9%),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好,并发症发生率低,是安全、有效的微创治疗措施。Objective To analyze the clinical effectiveness and the short-term complications of endoscopic papillary balloon dilatation（EPBD）in the treatment of common bile duct（CBD）stones. Methods The therapeutic effectiveness as well as prevention and cure of short-term complications of EPBD in 102 patients with CBD stones were analyzed retrospectively from March 2003 to May 2009. Results The clearance of calculus of bile duct was 98. 0 %. There were 11 cases of transient hyperamylasemia postoperation, and 5 of them suffered from acute pancreatitis（4. 9 % ）. None of cholangitis, perforation and hemorrhage occurred. Conclusion EPBD was safe and effective minimally invasive alternative in successful clearance of CBD stones, and therapeutic effectiveness is satisfactory.

关 键 词：胆总管结石 经内镜乳头气囊扩张术 扩张治疗 近期并发症 内镜气囊 高淀粉酶血症 并发症发生率 2009年 

分 类 号：R657.42[医药卫生—外科学]