摘要
目的 探讨乳头括约肌小切开联合气囊扩张治疗难治性胆总管结石的效果和安全性.方法 将2008年3月至2009年12月收治的难治性胆总管结石患者随机分为两组,分别为乳头括约肌切开组及乳头括约肌小切开联合气囊扩张组,比较两组间结石取净率、取石次数、机械碎石使用率、并发症发生率.结果 两组间结石取净率、早期并发症发生率,差异无统计学意义（2/61比2/62,6/61比4/62;P＞0.05）;乳头括约肌切开组需多次及需要使用机械碎石才能取净结石的比例以高于乳头括约肌小切开联合气囊扩张组,率差异有统计学意义（15/61比5/62,12/6l比4/62;P＜0.05）.结论 乳头括约肌小切开联合气囊扩张与乳头括约肌切开两种方法同样安全有效;乳头括约肌小切开联合气囊扩张操作更简便.
Objectiye To evaluate the therapeutic efficacy and safety of （endoscopic sphincterotomy, EST） plus balloon dilation for difficult bile duct stones. Methods Patients with difficult common bile duct stones on endoscopic retrograde cholangiopancreatography （ERCP） from March 2008 to December 2009 were randomly divided into 2 groups to receive EST or EST plus balloon dilation （ EST ＋ EPBD）, respectively. The success rate of complete stone removal, number of endoscopic sessions, the rate of using mechanical lithotripsy and the complication rate related to the procedure were compared between the 2 groups. Results Compared with EST alone, EST plus balloon dilation resulted in similar outcomes in terms of overall successful stone removal rate （2/62 vs. 2/61 ） and early complication rate （4/62 vs. 6/61, P ＞0. 05）. However,EST group needed more sessions （ EST 15/46 vs. EST ＋ EPBD 5/57, P ＜0. 05） and use of mechanical lithotripsy to achieve complete removal of stones （ EST 12/61 vs. EST ＋ EPBD 4/61, P ＜0. 05 ）. Conclusion EST plus balloon dilation is as safe and effective as, but more convenient than EST, for endoscopic removal of common bile duct stones.
出处
《中华消化内镜杂志》
北大核心
2010年第11期568-571,共4页
Chinese Journal of Digestive Endoscopy
