内镜治疗胆总管良性狭窄31例分析  

EPBD combined ERBD for benign common bile duct stricture: an analysis of 31 cases

作　　者：包海标[1] 徐毅[1] 吕宾[1] 孙翠萍[1] 许薇薇[1] 

机构地区：[1]浙江中医药大学附属第一医院消化科,杭州310006

出　　处：《临床肝胆病杂志》2011年第9期931-933,共3页Journal of Clinical Hepatology

摘　　要：目的探讨内镜在胆总管良性狭窄治疗中的作用。方法回顾性分析31例因梗阻性黄疸、腹痛入院,均据病史、CT和MR I及实验室检查确诊为胆总管良性狭窄患者。狭窄分类对照B ismuth标准分为2型,并评价采用内镜下括约肌气囊扩张术(EPBD)和胆管内支架引流术(ERBD)的治疗效果。结果 31例患者经EPBD和ERBD治疗,有效率为96.77%,随访患者30例,其中27例未复发;3例拔除支架后6月内复发;3例再狭窄患者中2例为慢性胰腺炎,1例为有胆囊切除史者,支架留置时间皆为6个月。结论 EPBD联合ERBD治疗胆总管良性狭窄安全有效,其治疗效果与狭窄的病因和支架留置时间有关。Objective To evaluate the efficacy of endoscopy for benign common bile duct stricture.Methods 31 patients with benign common bile duct stricture were retrospectively analyzed.Patients who were hospitalized due to obstructive jaundice,abdominal pain and diagnosed based on medical history,computed tomography（CT） and magnetic resonance imaging（MRI） findings,laboratory test results,were treated by endoscopic papillo-sphincter balloon dilation（EPBD） and endoscopic retrograde biliary drainage（ERBD）.The patients were evaluated by the Bismuth criterion.Results 31 patients were underwent EPBD and ERBD,and the effective rate was 96.77%.30 patients were followed up,among which 27 patients were without recurrence and 3 patients were with recurrence in half a year,of which 2 cases were with chronic pancreatitis and 1 previously underwent resection of the gallbladder.The stent indwelling time of the 3 patients were 6 months.Conclusion EPBD combined ERBD treatment on benign common bile duct stricture is safe and effective.The efficacy is associated with the cause of strictures and the indwelling time of stents.

关 键 词：胆道疾病 胆总管疾病 气囊扩张术 胰胆管造影术 内窥镜逆行 引流术 

分 类 号：R657.4[医药卫生—外科学]