预防性胰管支架在插管困难的胆道型Oddi括约肌狭窄中的应用  

Prophylactic pancreatic duct stenting for biliary-type stenosis of Oddi sphincter with difficult cannu- lation

作　　者：冯雪姣[1] 秦鸣放[2] 赵卫川[3] 李宁[2] 李伟志[3] 张莉[3] 

机构地区：[1]天津医科大学研究生院,天津300100 [2]天津市南开医院微创外科中心 [3]天津市南开医院内镜中心

出　　处：《中华消化内镜杂志》2013年第2期87-89,共3页Chinese Journal of Digestive Endoscopy

摘　　要：目的探讨预防性胰管支架在减少插管困难的胆道型Oddi括约肌狭窄术后胰腺炎的临床价值及有效性。方法回顾63例胆道型Oddi括约肌狭窄且插管困难的患者资料，以2009年1月至2010年1月的33例为对照组（仅行单纯内镜治疗而未放置预防性胰管支架），2010年2月至2011年2月的30例为支架组（行内镜治疗的同时成功置入了预防性胰管支架）。比较2组术后胰腺炎的发生率。结果支架组（0／30，0）与对照组（8／33，24．2％）相比，术后胰腺炎发生率差异有统计学意义（P〈0．05）。结论对于明确诊断的胆道型Oddi括约肌狭窄且插管困难的患者而言，预防性胰管支架的置入是安全有效的。Objective To evaluate the clinical value and efficacy of prophylactic pancreatic duct stenting for biliary-type stenosis of Oddi sphincter with difficulty cannulation. Methods The present study was a retrospective study of 63 patients with biliary-type stenosis of Oddi sphincter and difficult cannulation. The stent group consisted 30 patients who underwent prophylactic pancreatic duct stenting from February 2010 to February 2011 and the control group included 33 patients who underwent only ERCP without prophy- lactic pancreatic duct stenting from January 2009 to January 2010. The incidence of postoperative pancreatitis were compared between the two groups. Results The incidence of postoperative pancreatitis of the control group was significantly higher than that of the stent group （ P 〈 0. 05 ）. Conclusion For patients with defi- nite diagnosis of biliary-type stenosis of Oddi sphincter and difficult cannulation, prophylactic pancreatic duet stent placement is safe and effective.

关 键 词：胰胆管造影术 内窥镜逆行 奥狄括约肌功能障碍 胰腺炎 支架 

分 类 号：R657.4[医药卫生—外科学]