数字减影血管造影下内镜逆行胰胆管造影及治疗胆总管结石的X线影像  

Endoscopic retrograde cholangiopancreatography and common bile duct stones x-ray images

作　　者：李兮屴 左维敏[2] 郑晓华[3] 

机构地区：[1]湖北省武汉市第三医院放射科,湖北武汉430060 [2]湖北中医药大学,湖北武汉430064 [3]武汉大学人民医院影像科,湖北武汉430060

出　　处：《中国内镜杂志》2012年第6期613-616,共4页China Journal of Endoscopy

摘　　要：目的观察内镜逆行胰胆管造影及治疗胆总管结石的效果及X线影像。方法对该院2009年3月～2010年5月临床资料完整的42例胆总管结石患者在数字减影血管造影(DSA)引导下行内镜逆行胰胆管造影术(ERCP)+内镜下括约肌切开术(EST)。结果 ERCP确诊胆总管结石41例,经EST成功取石39例,壶腹肿瘤1例。结论 ERCP+EST诊治胆总管结石疗效确切,不需手术麻醉,痛苦少,简便,成功率高,为安全有效的治疗的方法。而ERCP不仅可直观胆总管结石的大小,数目,部位,还可进行活检及细胞学检查。也是目前公认的诊断胰胆管疾病的金标准。[ Objective] Observation of endoscopic retrograde cholangiopancreatography and the treatment of common bile duct stones and the effects of X-ray image. [Method] In our hospital in 2009 March to 2010 May and complete clinical data of 42 cases of common bile duct stones in patients under guidance of DSA ERCP ＋EST. [ Results] ERCP diagnosis of 41 cases of common bile duct stones, by EST successful stone removal in 39 cases, 1 cases of ampullary tumors. [ Conclusion ] ERCP＋EST is the diagnosis and treatment of common bile duct stones in curative effect, no operation anesthesia, less pain, simple, high success rate, safe and effective treatment method. While ERCP can not only visually common bile duct stones in the size, number, position, can also carry out biopsy and cytology. It is now recognized as the gold standard for diagnosis of pancreaticobiliary duct diseases.

关 键 词：ERCP EST 胆总管结石 X线 

分 类 号：R657.42[医药卫生—外科学]