中国内镜杂志2017，Vol.23Issue(2)：10-14,5.DOI:10.3969/j.issn.1007-1989.2017.02.003
胰管塑料支架和/或鼻胆管引流在内镜逆行胰胆管造影术选择性胆管插管困难时的应用研究
Application of plastic pancreatic stents and/or nasal biliary drainage for choledocholithiasis patients having a dififcult selective biliary cannulation during ERCP
摘要
Abstract
Objective To explore the application of plastic pancreatic stents and/or nasal biliary drainage for choledocholithiasis patients having DSBC during Endoscopic Retrograde Cholangiopancreatography (ERCP).Methods Retrospective analysis on clinical data of 57 ERCP cases aiming at choledocholithiasis patients having DSBC from January 2010 to December 2015 has been carried out. According to the guide wire cannulation in an operation, patients are divided into three groups, i.e. plastic pancreatic stents group, nasal biliary drainage group, and plastic pancreatic stents + nasal biliary drainage group, so as to observe the success rate of operation and the occurrence rate of postoperative complications, such as pancreatitis or hyperamylasemia, as well as to compare the differences between the three groups.Results Out of the 57 patients receiving ERCP, 13 patients are in the plastic pancreatic stents group, with two successful operations (15.4%), one case of hyperamylasemia (7.7%), two cases of postoperative pancreatitis (15.4%), one case of fever (7.7%) and one case of hemorrhage (7.7%); 20 patients are in the nasal biliary drainage group, with 20 successful operations (100.0%), no occurrence of hyperamylasemia or postoperative pancreatitis or other complications including hemorrhage and fever; 24 patients are in the plastic pancreatic stents + nasal biliary drainage group, with 19 ERCP operations succeeded at the first attempt (79.2%) and 5 ERCP operations succeeded at the second try (20.8%), as well as 4 cases of hyperamylasemia (16.7%), 2 cases of hemorrhage (8.3%) , no occurrence of fever cases and postoperative pancreatitis. In comparison between the three groups, the occurrence of postoperative pancreatitis and successful rate of operation show a significant difference.Conclusion By adopting plastic pancreatic stents and/or nasal biliary drainage for patients having a dififcult selective biliary cannulation during ERCP, the success rate of operation can be improved, and the occurrence of pancreatitis can also be reduced.关键词
胰管塑料支架/鼻胆管引流/内镜逆行胰胆管造影术/胆总管结石/选择性胆管插管困难Key words
plastic pancreatic stents/nasal biliary drainage/endoscopic retrograde cholangiopancreatography (ERCP)/choledocholithiasis/dififcult selective biliary cannulation (DSBC)分类
医药卫生引用本文复制引用
张艳,苏树英,费凛..胰管塑料支架和/或鼻胆管引流在内镜逆行胰胆管造影术选择性胆管插管困难时的应用研究[J].中国内镜杂志,2017,23(2):10-14,5.基金项目
2011年广东省卫生厅项目 （）
