中国医学创新Issue(4)：46-49,4.DOI:10.3969/j.issn.1674-4985.2016.04.014
EST小切开联合EPBD治疗胆总管结石合并乳头旁憩室的临床分析
Clinical Analysis on EST Joint EPBD for Treating Common Bile Duct Stones Combined Nipple Diverticulum
朱玲玲 1张健康2
作者信息
- 1. 山西医科大学 山西 太原 030001
- 2. 山西医科大学第一临床医学院
- 折叠
摘要
Abstract
Objective: To evaluate the therapeutic efficacy and safety of EST joint EPBD for treating common bile duct stones combined nipple diverticulum.Method: 87 patients with common bile duct stones combined nipple diverticulum in the First Hospital of Shanxi Medical University from April 2011 to April 2015 were selected. 38 patients in observation group were treated with limited EST plus EPBD (ESBD), and 49 patients conventional EST (EST) treatment in control group. The rate of removing stone success, mechanical brokenstone, and complications was observed.Result: The rate of removing stone success of the observation group was 94.7%(36/38), and that of the control group was 95.9% (47/49). The rate of mechanical brokenstone was 10.5% (4/38), and that of the control group was 16.3% (8/49). There were no significant differences between the two groups (P>0.05). The rate of complications of the observation group and control group was 18.4% (7/38) and 38.8%(19/49), and operating time was (34.05±13.60) min and (40.51±8.99) min, respectively, the differences were statistically significant (P<0.05).Conclusion:Contrast to the EST joint EPBD for treating common bile duct stones combined nipple diverticulum and the standard EST, the former can reduce the rate of complications and shorten the time of operation. AS a safe and effective treatment, it is worthy of clinical application.关键词
胆总管结石/十二指肠乳头旁憩室/乳头括约肌小切开/乳头气囊扩张术Key words
Common bile duct stones/Juxtapapillary diverticula/Limited endoscopic sphincterotomy/Endoscopic papillary balloon dilatation引用本文复制引用
朱玲玲,张健康..EST小切开联合EPBD治疗胆总管结石合并乳头旁憩室的临床分析[J].中国医学创新,2016,(4):46-49,4.
