中国内镜杂志2016，Vol.22Issue(9)：98-101,4.DOI:10.3969/j.issn.1007-1989.2016.09.023
内镜下乳头括约肌小中切开术联合球囊扩张术治疗肝外胆管结石的探讨
Analysis of small-middle endoscopic sphincterotomy combined with endoscopic papillary balloon dilation for patients with extrahepatic bile duct stone
贾秋红 1刘福建 1廖远庄 1关航 1姜志勇 1陆兆炯1
作者信息
- 1. 广西医科大学第八附属医院 消化内科，广西 贵港 537100
- 折叠
摘要
Abstract
Objective To evaluate the efficacy and safety of small-middle endoscopic sphincterotomy combined with endoscopic papillary balloon dilation for patients with extrahepatic bile duct stone. Methods The patients with special duodenal papilla included 38 cases, and those with normal duodenal papilla 143 cases. 38 patients had received SEST + EPBD, 143 had received MEST + EPBD. Results 181 patients had received SMEST + EPBD in our hospital and the related data were retrospectively analyzed. All 181 patients were successfully removed, the success rate was 100.00 %. There was no perforation occurred postoperatively, but mild acute pancreatitis occurred in 8 patients (4.42 %, 8/181) and bleeding occurred in 9 patients. The three major early complications rate were 9.93 %(17/181), which was cured by the conservative management. Conclusion SMEST plus EPBD is a safe and effective treatment for extrahepatic bile duct stone, with retaining the feature of sphincter of duodenal papilla, especially for patients with special duodenal papilla.关键词
肝外胆管结石/内镜下乳头括约肌小中切开术/内镜下乳头括约肌球囊扩张术/特殊十二指肠乳头Key words
extrahepatic bile duct stone/small-middle endoscopic sphincterotomy/endoscopic papillary balloon dilation/special duodenal papilla分类
医药卫生引用本文复制引用
贾秋红,刘福建,廖远庄,关航,姜志勇,陆兆炯..内镜下乳头括约肌小中切开术联合球囊扩张术治疗肝外胆管结石的探讨[J].中国内镜杂志,2016,22(9):98-101,4.
