胆道镜下气囊扩张治疗胆管狭窄的临床研究  

CLINICAL RESEARCH OF BALLOON DILATATION FOR TREATMENT OF BILIARY STRICTURE

作　　者：杨中[1] 张景明[1] 冯秋实[2] 

机构地区：[1]北京市和平里医院,100013 [2]北京大学第一医院,100034

出　　处：《中国内镜杂志》2003年第6期25-26,29,共3页China Journal of Endoscopy

摘　　要：目的 :探讨胆道镜下气囊扩张治疗胆管狭窄的价值。方法 :对经气囊扩张治疗的 45例胆管狭窄病例的复习 ,分析了胆管狭窄的常见原因及部位 ;并对胆道镜处理胆管狭窄几种方法进行比较 ;讨论了气囊扩张治疗胆管狭窄的优点、胆道支架的重要性及气囊扩张操作中的要点。结果 :45例病人共 85处狭窄 ,其中管状狭窄 63处 ,膜状狭窄 2 2处 ,吻合口狭窄 1 0处。经气囊扩张后 ,胆道镜均可顺利通过狭窄部位。多数狭窄仅需一次性扩张 ,4处狭窄经多次扩张 ,最多扩张次数为 6次。结论 :气囊扩张治疗胆管狭窄 ,直视、微创、简便易行、疗效可靠 ,是一种很好的治疗方法。大胆管狭窄扩张后应当放置胆道塑料支架 ,支撑 3～ 1Objective:To investigate the value of balloon dilatation for treatment of biliary stricture.Methods:Forty-five cases of biliary stricture treated by ch oledochoscopy balloon dilatation were reviewed, common causes of biliary strictu re were analyzed; Different methods of treatment for biliary stricture were comp ared; the advantages, key points of choledochoscopic balloon dilatation in the t reatment of biliary stricture, and the importance of biliary stent were evaluate d. Results:Eighty-five strictures were found in 45 cases and 63 had cannular strictures and 22 had membranous strictures. Choledochoscopy could easily pass t hrough these strictures after balloon dilatation. For most strictures only one d ilatation was needed, while four strictures needed up to six times dilatation. Conclusions:Choledochoscopic balloon dilatation is a valuable t re atment for biliary stricture. It enables the operator to observe the operating p rocess directly. It is easy to handle with slight injury and has reliable curati ve effects. Insertion of plastic stents into the large biliary duct for 3～12 mo nths is recommended after balloon dilatation for biliary stricture.

关 键 词：胆管狭窄 胆道镜 气囊扩张 治疗 

分 类 号：R657.4[医药卫生—外科学]