内镜治疗胆总管结石84例分析  

ANALYSING THE OF 84 CASES WITH COMMON BILE DUCT STONES

作　　者：朱丽明[1] 黄博天[1] 翁冬兰[1] 

机构地区：[1]温州市第二人民医院消化内科,325000

出　　处：《肝胆外科杂志》1999年第4期268-269,共2页Journal of Hepatobiliary Surgery

摘　　要：内镜下十二指肠乳头切开术（ Ｅ Ｐ Ｔ）治疗胆总管结石８４ 例。乳头切开成功７６ 例，成功率（９０．８％ ）。结石大小０．５～２．５ｃｍ ，其中一枚结石２２ 例，多枚结石６２ 例。术后４５ 例自然排石者中，２ 周内排石满意３０ 例。成功率６６．７％ ；网蓝，气囊导管取石２０例，成功率８０％ ；机械碎石取石１１ 例，碎石取石满意１０ 例，失败１ 例，总成功率９０．９％ 。术中出血２ 例，术后出血３ 例，结石嵌顿５例，穿孔１ 例，术后并发重症胰腺炎１ 例，死亡１ 例。 Ｅ Ｐ Ｔ 术加机械碎石取石是治疗胆总管结石安全，有效的方法。Endoscopic sphincterotomy(EPT) was performed to remove commom bile duct stones in 84 patients in this study.Stones ranged in size from 0.5～2.5cm in diameter,including single stone in 22 cases and multiple stones in the rest 62.The total success rate of EPT in this study achieved in 90.8% of cases.The extraction of stones was at 45 cases by sponteneousness,while 20 by ballon-catheter or basket and 11 by endoscopic mechanical lithertrpsy(EML),of which the success rate of stone removal were achieved in 66.7%,80% and 90.9% respectively.Complications of cases were invovled 2 bleeding during the operation ,3 postoperation,5 stone impaction,1 perferation,1 later developed with sever type of pancreatitis,and only 1 hospital death.It is concluded that the EST and EML is the safe,effective method and represents a promising alternative to surgrey in cases with common bole duct stones.

关 键 词：胆总管结石 乳头切开 机械碎石 内镜 

分 类 号：R657.420.5[医药卫生—外科学]