中国内镜杂志2024，Vol.30Issue(8)：12-17,6.DOI:10.12235/E20240043
SpyGlass DS系统联合激光碎石法与常规分次治疗胆总管大结石的效果和安全性的对比分析
Comparative analysis of the efficacy and safety of SpyGlass DS system combined with laser lithotripsy and conventional fractional treatment of large calculus of common bile duct
艾合买江·库尔班江 1布娅·米然别克 1王秋玲 1李得阳 1高峰1
作者信息
- 1. 新疆维吾尔自治区人民医院(新疆消化系统疾病临床研究中心)消化科,新疆 乌鲁木齐 830001
- 折叠
摘要
Abstract
Objective To compare the safety and efficacy of SpyGlass DS system laser lithotripsy and conventional fractional treatment under endoscopic retrograde cholangiopancreatography(ERCP)in treatment of large calculus of common bile duct.Method 38 patients with large calculus of common bile duct(>2 cm)during ERCP from November 2021 to October 2023 were selected and divided into experimental group(n=18)and control group(n=20).The experimental group was treated with SpyGlass DS system combined with laser lithotripsy.The patients in the control group were treated with split treatment(the first biliary stent was placed,and the calculus of common bile duct were removed under conventional ERCP again 3 months later).The success rate of stone clearance and the incidence of complications after ERCP were compared between the two groups.Magnetic resonance cholangiopancreatography(MRCP)was performed 3 months after surgery to determine whether there were residual calculus of common bile duct.Results The surgical time of the experimental group was longer than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the stone clearance rate and the incidence of short-term complications between the two groups(P>0.05).The incidence of long-term complications in the experimental group was lower than that in the control group,but the difference was not statistically significant(P=0.090).Conclusion SpyGlass DS guided laser lithotripsy is effective and safe for the treatment of large calculus of common bile duct,with a low recurrence rate.关键词
胆总管大结石/内镜逆行胰胆管造影术(ERCP)/SpyGlass DS/碎石术/术后并发症/结石复发率Key words
large calculus of common bile duct/endoscopic retrograde cholangiopancreatography(ERCP)/SpyGlass DS/lithotripsy/postoperative complications/stone recurrence rate分类
医药卫生引用本文复制引用
艾合买江·库尔班江,布娅·米然别克,王秋玲,李得阳,高峰..SpyGlass DS系统联合激光碎石法与常规分次治疗胆总管大结石的效果和安全性的对比分析[J].中国内镜杂志,2024,30(8):12-17,6.
