中国内镜杂志2024，Vol.30Issue(6)：1-7,7.DOI:10.12235/E20230617
内镜夹闭乳头成形术在内镜逆行胰胆管造影术中的应用
Utilization of endoclip papilloplasty in endoscopic retrograde cholangiopancreatography
摘要
Abstract
Objective To explore the clinical utility of endoclip papilloplasty in endoscopic retrograde cholangiopancreatography(ERCP).Methods A prospective study was conducted and selected 62 patients who underwent ERCP from November 2021 to November 2022.30 out of 32 patients who randomly underwent endoclip papilloplasty were successful.These patients were assigned to successful endoclip papilloplasty group(group A,n=30)or the duodenal papilla unclamping group(group B,n=30).The aim was to compare the difference in short-term and long-term complications between the two groups.Results The success rate of papillary plasty was 93.8%(30/32),with no statistically significant differences observed in the incidence of postoperative pancreatitis,postoperative hemorrhage after ERCP,and postoperative cholangitis between the two groups(P>0.05).The duodenal perforation rate was 0.There were no significant differences between the two groups in terms of total cholangitis incidence and recurrence rate of calculus of common bile duct within 1 year(P>0.05).However,there was a statistical difference in terms of total the incidence of cholangitis+calculus of common bile duct recurrence within 1 year(P<0.05).Conclusion The endoclip papilloplasty exhibits a high success rate and safety and feasibility procedure reducing long-term recurrence rate of cholangitis and calculus of common bile duct in endoscopic papillary large balloon dilation(EPLBD)procedure.关键词
内镜逆行胰胆管造影术(ERCP)/奥迪括约肌/内镜夹闭乳头成形术/内镜下乳头括约肌大球囊扩张术(EPLBD)/ERCP后并发症Key words
endoscopic retrograde cholangiopancreatography(ERCP)/Oddi sphincter/the procedure of endoclip papillaplasty/endoscopic papillary large balloon dilation(EPLBD)/postoperative complications of ERCP分类
医药卫生引用本文复制引用
张多强,彭波,刘晶,辛国军,虎晓军,杨勇,郝成强,张晓燕..内镜夹闭乳头成形术在内镜逆行胰胆管造影术中的应用[J].中国内镜杂志,2024,30(6):1-7,7.基金项目
宁夏回族自治区卫生健康系统科研课题(No:2022-NWKY-002) （No:2022-NWKY-002）
