摘要
目的评估内镜下乳头括约肌小切开联合球囊扩张术(ESBD)治疗在异常乳头(合并憩室、胆道术后,扁平小乳头)的胆总管结石患者中的有效性及安全性。方法将2015年1月—2018年3月本院诊治的76例异常乳头的胆总管结石患者随机分成两组,其中乳头括约肌切开术(EST)组34例,ESBD组42例。比较两组患者取石成功率、取石时间、碎石率以及并发症的情况。结果 ESBD组取石时间、碎石率均少于EST组(P<0.05);总体并发症发生率少于EST组,尤其是出血发生率(P<0.05)。结论 ESBD治疗异常乳头的胆总管结石成功率高、并发症少,具有安全有效的特点。
Objective To investigate the effectiveness and safety of endoscopic limited sphincterotomy plus endoscopic papillary balloon dilatation（ ESBD） in the treatment of common bile duct stones in patients with abnormal papillae（ combined with diverticula,after biliary tract operation,little flat pillae）.Methods 76 patients with common bile duct stones and abnormal papillae in our hospital from Jan. 2015 to Mar. 2018 were randomly divided into two groups,34 patients received endoscopic sphincterotomy（ EST group）,42 patients received endoscopic limited sphincterotomy plus endoscopic balloon dilatation（ ESBD group）. The success rate of removing stones,operation time,the rate of mechanical lithotripsy and complications were evaluated. Results The operation time and the rate of mechanical lithotripsy in ESBD group were lower than those in EST group（ P 0.05）,the total complications were also lower in ESBD group,especially in bleeding（ P0.05）. Conclusions The treatment of patients with common bile duct stones and abnormal papilla with ESBD had a high success rate of removing stones and a decreased rate of complication. This method is safe and effective.
出处
《齐齐哈尔医学院学报》
2018年第12期1388-1390,共3页
Journal of Qiqihar Medical University
关键词
乳头括约肌小切开
球囊扩张术
胆总管结石
异常乳头
Endoscopic Limited sphincterotomy
Endoscopic balloon dilatation
Common bile duct stones
Abnormal papillae
