治疗性经内镜逆行性胰胆管造影未成功原因及并发症分析  

The Causes of Sucoesslessness of Therapic ERCP and Its Complications

作　　者：顾志汉[1] 卞光蔚[1] 徐进康[1] 徐宏伟[1] 李静[1] 陈守英[1] 李兆申[2] 

机构地区：[1]江苏省昆山市中医医院,215300 [2]第二军医大学附属长海医院消化科

出　　处：《医学理论与实践》2001年第11期1095-1097,共3页The Journal of Medical Theory and Practice

摘　　要：探讨治疗性经内镜逆行性胰胆管造影(ERCP)未成功和并发症发生的原因及其预防办法。方法:回顾开展ERCP检查453例及EST切开做各种治疗328例资料,及时总结分析未成功和并发症发生的原因,并采取相应预防办法和防治措施。结果:453例ERCP检查成功445例(98.2％),未成功8例(1.8％);EST治疗328例,成功319例(97.2％),未成功9例(2.7％);发生并发症17例(5.3％);未成功共计34例(10.7％)。研究表明,治疗性ERCP未成功的主要原因与胆石大小、性质、胆管的直径以及操作技术有关。结论:CRCP对胆胰疾病治疗的适用范围广,疗效可靠,方法安全,只要掌握好适应范围,通过医师的熟练操作,可以明显减少不成功病例及并发症,提高治疗性ERCP的成功率。To discuss the causes of successlessness of therapic ERCP and to investigate how to prevent its complications. Methods: ERCP data of 453 cases were reviewed, of which 328 cases received EST.The causes of successlessness of ERCP were analysed,and the color, size, shape,and configuration of stones and the size of CBD were compared, the improvement of the technique were discussed.Results: 453 cases received ERCP,of which 445(98.2%) were successful. 328 patients received EST,of which 319 (97.2%) were successful. Of these patients, 17(5.3%) had complications.The causes of successlessness of ERCP related to the diameter and classification of the stone,and to the operation technique.Conclusion:The indications of ERCP for beating cholopancreatic diseases can be wide, the efficacy is better, and the procedure is safe. In order to significantly reduce the rate of sucesslessness and complications, the indication of ERCP and EST should be evaluated, and endoscopic technique should be improved.

关 键 词：治疗 经内镜逆行性胰胆管造影 ERCP 并发症 未成功原因 

分 类 号：R816.5[医药卫生—放射医学] R814.43[医药卫生—临床医学]