体外冲击波碎石联合经内镜逆行胰胆管造影术治疗胰管结石的研究  

Extracorpareal shock wave lithotripsy in combination with endoscopic retrograde eholangiopanereatography for pancreatic duct stones

作　　者：杨晶[1] 张筱凤[1] Jing Yang;Xiao-feng Zhang(Department of Gastroenterology, the First Hospital of Hangzhou, Hangzhou Hospital affiliated to Nanjing Medical University, Hangzhou, Zhejiang 310006, China)

机构地区：[1]浙江省杭州市第一人民医院(南京医科大学附属杭州医院)消化内科,浙江杭州310006

出　　处：《中国内镜杂志》2017年第5期83-87,共5页China Journal of Endoscopy

摘　　要：目的探讨体外冲击波碎石术(ESWL)联合经内镜逆行胰胆管造影术(ERCP)在慢性胰腺炎(CP)合并胰管结石(>5 mm)治疗中的适应证、疗效、安全性、麻醉方式和并发症。方法观察2011年11月-2016年2月,通过ESWL联合ERCP治疗的33例CP患者碎石取石的成功率、并发症情况,随访治疗后6个月和4年疗效,评估联合治疗的有效性。结果 33例患者共进行52次ESWL,碎石成功率(100.00%),ESWL联合ERCP取净结石27例(81.82%)。术后6个月和4年随访患者疼痛、脂肪泻缓解,体重增加。结论 ESWL联合ERCP治疗CP合并胰管结石安全有效。Objective To study the indication,efficacy,safety,anesthesia method,and complication ofextracorpereal shockwave lithotripsy(ESWL)in combination with endoscopic retrograde eholangiopanereatography(ERCP)for pancreatic duct stones.Methods From November2011to February2016,we observed the successrate and safety of ESWL in combination with ERCP in treatment of33patients with chronic pancreatitis and largepancreatic duct stones and evaluate the efficacy in6month and4years follow-up.Results All the33patientsunderwent52ESWL,the successful fragmentation rate was100.00%;complete clearance was achieved in27patients(81.82%)under the treatment of ESWL in combination with ERCP.Their pain and steatorrhea relieved,the weightincreased.Conclusions ESWL combined with ERCP is effective,safe for chronic pancreatitis with pancreatic ductstones.

关 键 词：慢性胰腺炎 胰管结石 体外冲击波碎石术 

分 类 号：R576[医药卫生—消化系统]