内镜下乳头小切术联合球囊扩张治疗胆总管结石临床观察  

Clinical observation of EST combined with EPBD in treatment of common bile duct stones

作　　者：吴继君[1] 冯新献[1] 李训海[1] 尹国锋[1] 张先楷 胡世颉[2] 

机构地区：[1]郑州市第一人民医院普外三病区,郑州450000 [2]第四军医大学西京医院神经外科,西安710032

出　　处：《陕西医学杂志》2017年第8期1002-1003,共2页Shaanxi Medical Journal

基　　金：国家自然科学青年基金项目(81101710)

摘　　要：目的:观察胆总管结石治疗中应用内镜下乳头小切开术(EST)联合球囊扩张(EPBD)治疗的临床效果。方法:将收治的80例胆总管结石患者作为研究对象,按数字随机原则分两组,40例对照组患者选择EST治疗,40例实验组患者选择EST联合EPBD治疗,观察比较临床疗效。结果:在手术时间以及住院时间方面,实验组显著短于对照组(P<0.05);在一次性取石成功率、总取石成功率方面,实验组显著高于对照组(P<0.05);在并发症发生率方面,实验组则显著低于对照组(P<0.05)。结论:EST联合EPBD治疗胆总管结石具有比较显著的临床效果,不仅显著提高取石成功率,且有效减低并发症发生,具有临床应用价值。Objective Observe the clinical effect of endoscopic sphincterotomy （EST） combined with balloon dilatation （EPBD） in the treatment of common bile duct stones.Method 80 cases common bile duct stones treated in our hospital.They were divided into two groups randomly.40 cases in control group were treated with EST,and 40 cases in experimental group was treated with EST combined with EPBD.The clinical efficacy of the two groups were observed and compared.Results：The operation time and hospital stay time in experimental group were significantly shorter than control group （P〈0.05）.The success rate of stone extraction one-off and the overall success rate of stone extraction in experimental group,were significantly higher than those of control group （P〈0.05）.The incidence of complications in experimental group was significantly lower than control group （P〈0.05）.Conclusions：EST combined with EPBD has a significant clinical effect in the treatment of common bile duct stones.It can not only improve the success rate of stone extraction,but also reduce the incidence of complications.

关 键 词：胆结石/治疗 @内镜下乳头小切开术 @球囊扩张 

分 类 号：R575.62[医药卫生—消化系统]