实用肝脏病杂志2017，Vol.20Issue(5)：592-595,4.DOI:10.3969/j.issn.1672-5069.2017.05.021
乳头括约肌小切开联合球囊扩张术治疗十二指肠乳头旁憩室合并胆总管结石41例疗效观察
Efficacy of small incision of sphincterotomy and balloon dilatation in treatment of patients with juxtapapillary duodenal diverticulum and common bile duct stones
逯青 1刘学军 1木努热丁·艾则孜1
作者信息
- 1. 843000新疆维吾尔自治区阿克苏市 阿克苏地区第一人民医院普外一科
- 折叠
摘要
Abstract
Objective To investigate the efficacy of small incision of endoscopic sphincterotomy (SEST) and endoscopic papillary balloon dilatatio (EPBD) in treatment of patients with juxtapapillary duodenal diverticulum (JPDD) and common bile duct stones.Methods 82 patients with choledocholithiasis of JPDD were divided into study group and control group,with 41 cases in each group.The patients in the control group were treated with EST and in the study group were treated with SEST and EPBD.Results The one time success rate (90.2,4％) and the total success rate(95.12％) in the study group were higher than those in the control group (73.17％ and 78.05％,respectively),and the mechanical lithotripsy rate was 12.20％,much lower than 31.71％ in the control group (P＜0.05);the hospitalization stay in the study group was (7.98±1.14) days,much shorter than (11.03±1.39) days in the control group (P＜0.05);serum bilirubin levels in the two groups before and after operation had no significant difference (P＞0.05);The incidence rates of complications (9.76％) in the study group was lower than (36.59％) in the control group(P＜0.05).Conclusion Small endoscopic sphincterotomy and balloon dilation in the treatment of patients with juxtapapillary duodenal diverticulum accompanied by common bile duct stones has a good efficacy,with higher success rate of stone removal,shorter hospitalization stay,and lower incidence rate of complications.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/球囊扩张术/疗效Key words
Choledocholithiasis/Juxtapapillary duodenal diverticulum/Small endoscopic sphincterotomy/Balloon dilatation/Efficacy引用本文复制引用
逯青,刘学军,木努热丁·艾则孜..乳头括约肌小切开联合球囊扩张术治疗十二指肠乳头旁憩室合并胆总管结石41例疗效观察[J].实用肝脏病杂志,2017,20(5):592-595,4.
