摘要
目的探讨内镜逆行胰胆管造影(ERCP)和内镜十二指肠乳头括约肌切开(EST)取石治疗胆外胆管结石的临床治疗经验和价值。方法对45例肝外胆管结石患者行ERCP和EST取石术治疗,同时设立开腹手术肝外胆管探查取石治疗组为对照组。观察术后病情及并发症情况。结果内镜治疗组有效率97.8%,开腹手术组有效率为90.9%(P>0.05)。残余结石发生率:内镜组为2.22%,开腹手术组为20.00%(P<0.05)。并发症发生率:内镜组为4.44%,开腹手术组为18.18%(P<0.05)。结论ERCP和EST取石术治疗肝外胆管结石优于开腹手术,是治疗胆外胆管结石安全、有效、简便的方法。
[Objective] To discuss the clinical value in the treatment of patients with extrahepatic bile duct stones by applying endoscopic retrograde cholangio-pancreatography （ERCP） and endoscopic sphincterotomy （EST）. [Methods] Forty-five cases were treated with ERCP and EST. Fifty-five patients cases were treated with operative therapy. [Results] The effective rate was 97.8% by ERCP and EST and 90.9% by operative therapy （P 〉0.05）. The rate of residual stone was 2.22% by ERCP and EST and 20.00% by operative therapy （P 〈0.05）. The rate of complications was 4.44% by ERCP and EST and 18.18% by operative therapy （P 〈0.05）. [Conclusion] Therapeutic efficacy of ERCP and EST was better than operative therapy in the treatment of extrahepatic bile duct stones. It is an effective method for the treatment of extrahepatic bile duct stones.
出处
《中国内镜杂志》
CSCD
北大核心
2009年第3期288-289,293,共3页
China Journal of Endoscopy
关键词
肝外胆管结石
内镜逆行胰胆管造影
十二指肠乳头切开
extrahepatic bile duct stones
endoscopic retrograde cholangio-pancreatography （ERCP）
endoscopicsphincterotomy （EST）
