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ERCP时非乳头括约肌切开状态下胆管取石 被引量:7

Removal of stones from the bile duct under the procedure of ERCP without sphincterotomy
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摘要 目的:探讨内镜逆行胰胆管造影(ERCP)时非乳头括约肌切开状态下胆管取石的疗效及价值。方法:11例患者经ER-CP后均证实为胆管内结石,先用乳头括约肌扩张成形气囊作乳头括约肌扩张,压力为400kPa,维持时间30s~1min,反复2~3次,然后用取石网篮或气囊将结石取出,最后重复胆管造影及清扫胆管残余结石。结果:11例患者全部扩张成功并用网篮或气囊取出结石16枚,大小为3~10mm,平均5.4mm,未发生严重并发症。结论:ERCP时,对于≤10mm的胆管结石,用气囊行乳头括约肌扩张后,能顺利地取石,可避免因乳头括约肌切开术而引起的出血、穿孔等并发症,为一种理想。 Objective: To study the effect and value of removal of stones from the common bile duct (CBD) under the procedure of endoscopic retrograde cholangiopancreatography (ERCP) without sphincterotomy. Methods: Eleven patients with CBD stones firstly underwent balloon dilation of sphincter with a 8 mm dilationary balloon (pressure: 400 kPa), maintaining 30 s to 1 min, 2~3 times repeatedly through the intact papilla without sphincterotomy, secondly removed stones from CBD with retrieval balloons or stones retrieval baskets, finally repeated cholangiography. Results: Sixteen stones in 11 patients were removed successfully through the intact papilla without any complications. Conclusion: It is an effective and good treating method to remove stones from CBD through the balloon dilation of intact papilla without sphincterotomy at ERCP. It can avoid the complications induced by endoscopic sphincterotomy, such as bleeding, perforation.
出处 《第二军医大学学报》 CAS CSCD 北大核心 1998年第5期414-416,共3页 Academic Journal of Second Military Medical University
关键词 逆行胰胆管造影 胆管结石 乳头括约肌 扩张术 endoscopic retrograde cholangiopancreatography stones of bile duct dilation of Oddi sphincter
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  • 1李兆申,许国铭.如何提高ERCP的成功率[J].内镜,1995,12(2):95-99. 被引量:9
  • 2Dr. D. Diaz MD,P. Bories MD,M. Ampelas MD,D. Larrey MD, PhD,H. Michel MD. Methyltert-butyl ether in the endoscopic treatment of common bile duct radiolucent stones in elderly patients with nasobiliary tube[J] 1992,Digestive Diseases and Sciences(1):97~100

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