中国内镜杂志2012，Vol.18Issue(5)：473-476,4.
胰管支架植入后针状刀乳头括约肌预切开术在困难内镜下逆行胰胆管造影中的应用
Clinical application of post-pancreatic-stent-placement papillotomy by needle-knife precut in difficult biliary cannulation
黄锦 1宋汉明 1沈颖洲 1方清流 1范志宁 2文卫 2王翔 2仲恒高 2熊观瀛2
作者信息
- 1. 安徽省马鞍山市人民医院消化内镜中心,安徽马鞍山243000
- 2. 南京医科大学第二附属医院消化医学中心,江苏南京210012
- 折叠
摘要
Abstract
[Objective] To evaluate the clinical application of post-pancreatic-stent-placement papillotomy by needle-knife precut in difficult biliary cannulation. [Methods] From October 2008-September 2011, in the gastrointestinal endoscopic centers of the Second Affiliated Hospital of Nanjing Medical University and the People's Hospital of Ma Anshan City, total of 199 patients underwent papillotomy by needle-knife precut in difficult biliary cannulation, of which 143 in group A directly implemented papillotomy by needle-knife precut and 56 in group B received post-panereatic-stent-placement papillotomy. The success rate of biliary cannulation and the incidence of complications in two groups were observed. [ Results ] The success rate of biliary cannulation in group A and B was 87.4% (125/143) and 96.4% (54/56) respectively; The incidence of bleeding was 10.5%(15/143)and 1.8% (1/56), cholangeitis was 5.6% (8/143) and 5.3% (3/56), post-ERCP pancreatitis was 13.3% (19/143) and 3.6% (2/56) respectively in the two groups. Compared with group A, the success rate of biliary cannulation in group B was higher. There were no significant difference between incidence of cholangitis in group A and B. However, the incidence of bleeding and post-ERCP pancreatitis in group B was lower than in group A. There was no perforation or death case in the two groups. [ Conclusion ] It is suggested that post-pancreatic-stent-placement papillotomy by needle-knife precut may increase the success rate of biliary cannulation and decrease the incidence of complications caused by needle-knife precut in difficult ERCP procedures.关键词
乳头括约肌切开术/胰管支架植入/困难ERCP/插管/并发症Key words
papillotomy/ pancreatic stent placement/ difficult ERCP/ cannulation/ complication分类
医药卫生引用本文复制引用
黄锦,宋汉明,沈颖洲,方清流,范志宁,文卫,王翔,仲恒高,熊观瀛..胰管支架植入后针状刀乳头括约肌预切开术在困难内镜下逆行胰胆管造影中的应用[J].中国内镜杂志,2012,18(5):473-476,4.
