摘要
作者于1997年3月至1998年3月经内镜乳头气囊扩张(EPD)治疗胆总管结石31例,其中单粒结石18例,2颗结石8例,3颗以上结石5例,最多1例5颗结石,结石的直径为0.5cm～1.2cm不等。30例(96.8％)EPD成功,1例失败。28例(93.3％)胆管结石经内镜一次治疗排出,其中24例(85.7％)利用网篮或取石球囊取出结石,2例(9.1％)采用碎石后排出,另外2例(6.7％)经2～3次内镜取完结石。术后出现中上腹疼痛胆管炎1例(3％)。16例术后行胃肠钡餐检查胆管内无钡剂返流。EPD是目前治疗胆管结石的重要手段之一。
Endoscopic papillary dilatation in treating common bile duct stones. Endoscopic papillary dilatation (EPD) was employed as a treatment for 31 cases of common bile duct (EBD) stones from March 1997 to March 1998. Of these, 18 cases presented one stone, 8 cases 2 stones and 5 cases more than 3 stones. One patient had 5 stones in the EBD as the most. EPD was succeeded in 30 (96.8 %) patients and was failed in 1 patient. EBD stones was taken out after one attempt in 28 (93. 3 % ) patients. In 24 (85. 7 %) patients, basket or ballon was used to bring out stones. Lithotripsy was performed using tripsical basket in 2 (7.1 % ) patients. EBD stones were extracted after 2 - 3 attempts in other 2 patients. Only one (3 % ) patient presented upper abdominal pain after the procedure. No intestinal- billiary reflux was discovered in 16 patients under GI examination. EPD is the important method in treating EBD stones in our era.
关键词
胆总管结石
内镜
乳头气囊扩张
胆结石
Common bile duct stones Endoscopic procedure Papillary balloon dilatation
