应用微创介入治疗急性化脓性胆管炎28例疗效分析  

Analysis the effects of minimally invasive intenvention on acute suppurative cholangitis in 28 patients

作　　者：邓海山[1] 徐小平[1] 冯跃[1] 马吉泉[1] 

机构地区：[1]武警浙江省总队医院肝胆外科,浙江省嘉兴314000

出　　处：《中国基层医药》2012年第23期3535-3536,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的分析微创介入治疗急性化脓性胆管炎（ASC）的疗效。方法对28例ASC患者经微创介入治疗的临床资料进行回顾性分析。结果5例乳头部结石嵌顿行内镜逆行胰胆管造影（ERCP）＋针式电刀开窗后直接取净结石或结石自行排出；6例单个胆管结石行ERCP＋内镜下乳头括约肌切开术（EST）后直接取石或结石自行排出；15例多发结石行ERCP＋内镜下鼻胆管引流（ENBD），待胆管炎症症状缓解和全身状况好转后行ERCP＋EST取石成功，2例多发结石ERCP＋ENBD症状缓解后内镜取石失败，行常规手术后痊愈。结论微创介入技术治疗ASC具有创伤小、成功率高、恢复快等特点，且并发症少。Objective To analyze the effects of minimally invasive intenvention on acute suppurative cholan- gitis（ASC）. Methods The clinical data of 28 patients with ASC and performed with endoscopic therapy were ana- lyzed. Results 5 patients with a single stone incarcerated in the duodenal nipple were performed with ERCP and nee- die electrode fenestration to removed the stone. 6 patients with a single stone were performed with endoscopic sphinete- rotomy（EST）. 15 patients are successfully performed with ERCP ＋ EST after cholangitis and general situation turned better. 2 patients failed with endoscopic therapy, and they were recovered treated with conventionalsurgery. Conclusion Minimally invasive intenvention on ASC has characteristics of quick,minimally invasive surgery, high success rate, rapid recovery, and fewer complications.

关 键 词：胆管炎 胰胆管造影术 内窥镜逆行 括约肌切开术 内窥镜 

分 类 号：R657.4[医药卫生—外科学]