ERCP治疗胆总管结石的临床分析  

作　　者：田正凤 申素芳 陈洪 王林恒[2] 

机构地区：[1]中国航天科工集团731医院内7科 [2]北京中医药大学东方医院消化内科,北京100074

出　　处：《中外医疗》2010年第14期18-18,20,共2页China & Foreign Medical Treatment

摘　　要：目的探讨内镜逆行胰胆管造影(ERCP)术治疗胆总管结石的临床效果。方法 ERCP+EST(内镜下乳头括约肌切开术)+网篮/球囊/碎石网篮取石对25例明确诊断为胆总管结石的患者进行内镜下取石治疗,必要时行内镜鼻胆管引流(ENBD)或胆道内置管引流(ERBD)。结果一次取石成功率为92%(23/25),二次取石成功率为100%,并发症术后胰腺炎为4%(1/25),一过性淀粉酶升高为16%(4/25)。结论 ERCP治疗胆总管结石效果好、并发症少、创伤小。Objective To investigate the clinical values of endoscopic retrograde cholangiopancreatography（ERCP）for treating common bile duct stone.Methods 25 cases who were confirmed with common bile duct stone were treated by ERCP,then combined with Endoscopic sphincteretomy（EST）、basket stone taken、endoscopic basket lithertrpsy and/or ballon-catheter stone taken.When it was necessary,they were treated with ENBD or ERBD.Results The general stone removal rate was 92%（23/25） in one time.The complications after EST included 1 patients with acute pancreatitis,4 patients with hyperamylasemia.Conclusion Patients with common bile duct stone could be healed by endoscopic treatment effectively and safely.

关 键 词：胆总管结石 EST ERCP 网篮取石 碎石网篮 

分 类 号：R9[医药卫生—药学]