正常乳头小切开后球囊扩张治疗胆总管结石——附120例分析  

作　　者：张永潮[1] 金大庆[1] 郭慧丽[1] 张秀兰[1] 胡佳静[1] 陈辉[1] 胡立霞[1] 

机构地区：[1]首都医科大学平谷医院内镜中心,101200

出　　处：《当代医学》2012年第23期10-11,共2页Contemporary Medicine

摘　　要：目的探讨正常乳头在乳头小切开(EST)后进行球囊扩张术(EPBD)治疗胆总管结石的优缺点。方法选择乳头正常的胆总管结石病人120例,在小切开后行EPBD,扩张至8～12mm,用网篮取石。结果本组病人无严重出血、穿孔、胆管炎或重症胰腺炎发生,取石顺利。结论 EST后EPBD可提高取石的成功率,可能会降低出血、穿孔、胰腺炎的发生率。Objective To investigate the advantage and shortage of endoscopic sphicterotomy （EST） followed by endoscopic papillary balloon dilation （EPBD） in treatment of choledochus calculus. Methods 120 cases of common bile duct stones with normal duodenal papilla were selected. After EST, EPBD was performed to dilation the common bile duct to 8 - 12 mm, then calculus was removed using basket. Results Calculus was removed in all patients successfully and smoothly. No hemorrhage, perforation and pancreatitis were occurred. Conclusion EST followed by EPBD maybe increased the successful rate of calculus removing, moreover, reduced the occurrence rate of complication.

关 键 词：乳头小切开 球囊扩张 胆总管结石 

分 类 号：R657.4[医药卫生—外科学]