肝外胆管结石的内镜治疗进展  

Progress of Endoscopic Treatment on Extrahepatic Bile Duct Stones

作　　者：贾秋红[1] 刘福建[1] 

机构地区：[1]广西医科大学第八附属医院消化内科,广西贵港537100

出　　处：《医学综述》2017年第7期1411-1415,共5页Medical Recapitulate

摘　　要：肝外胆管结石的治疗方法多种多样,但微创治疗尤其是十二指肠镜下取石已逐渐成为第一选择。以往肝外胆管结石的内镜下治疗方法主要有内镜下十二指肠乳头括约肌切开术、内镜下乳头球囊扩张术、内镜下鼻胆管引流术以及胆管支架放置术。随着内镜技术的发展,上述方法对肝外胆管结石的治疗效果明显提高,但对于一些复杂性肝外胆管结石,效果并不理想。近年来发展迅速的内镜下乳头大球囊扩张术治疗一般及复杂性肝外胆管结石已取得良好的效果。There are various ways to treat extrahepatic bile duct stones ,however,minimally invasive treatment, especiallyextracting stone under duodenoscope has become the first option. So far, the way to treat extrahepatic bile duct stones underendoscope includes endoscopic sphincterotomy, endoscopic papillary balloon dilation, endoscopic nasobiliary drainage andthe biliary stenting. With the development of the endoscopic treatment,the methods mentioned above have improved greatlywhen dealing with extrahepatic bile duct stones, but the results are not satisfactory when dealing with some complicatedcases of extrahepatic bile duct stones. In recent years, it has been proved that the rapidly developing endoscopic papillarylarge balloon dilation has a good effect in treating common and complicated extrahepatic bile duct stones.

关 键 词：肝外胆管结石 内镜治疗 大球囊扩张术 鼻胆管引流术 

分 类 号：R657.42[医药卫生—外科学]