兰州大学学报（医学版）2024，Vol.50Issue(5)：49-55,7.DOI:10.13885/j.issn.1000-2812.2024.05.007
内镜下乳头括约肌球囊扩张术治疗胆总管结石的安全性和有效性分析
Safety and efficacy of endoscopic papillary balloon dilation in the treatment of common bile duct stones
摘要
Abstract
Objective To evaluate the safety and efficacy of endoscopic papillary balloon dilation(EPBD)in the treatment of common bile duct stones.Methods A total of 284 patients who received endoscopic treatment for common bile duct stones in Affiliated Suqian Hospital of Xuzhou Medical University from January 2015 to October 2022 were selected as the study objects and divided into three groups,namely endoscopic sphinc-terotomy(EST)(37),EPBD(49)and EST+EPBD(198),according to endoscopic methods.The demographic characteristics,clinical characteristics and short-term complication rate of these patients were retrospectively collected.The safety and efficacy of them were analyzed.Results In terms of safety,the incidence of intra-operative bleeding in the EPBD group(6.1%)was significantly lower compared to that in the EST group(29.7%)and the EST+EPBD group(26.3%),demonstrating statistical significance(P=0.003).There were no statistical differences observed among the three groups.Regarding effectiveness,there were no signifi-cant differences found in both the first stone clearance rate and mechanical lithotripsy rate among the three groups.Conclusion EPBD surgery is safe and effective,and the risk of intraoperative bleeding is lower,thus worthy of clinical application.关键词
内镜下乳头括约肌切开术/内镜下乳头括约肌球囊扩张术/胆总管结石/内镜逆行胰胆管造影Key words
endoscopic sphincterotomy/endoscopic papillary balloon dilation/common bile duct stone/endo-scopic retrograde cholangiopancreatography分类
医药卫生引用本文复制引用
高悦悦,陶凯歌,朱美玲,刘加宁,李运红..内镜下乳头括约肌球囊扩张术治疗胆总管结石的安全性和有效性分析[J].兰州大学学报（医学版）,2024,50(5):49-55,7.基金项目
宿迁市社会发展基金资助项目(S201719) （S201719）
