急性重症胆管炎的内镜治疗(附36例报告)

Interventional endoscopy for the treatment of acute cholangitis of severe type:report of 36 patients

目的 探讨经内镜治疗急性重症胆管炎 (ACST)的价值。材料与方法 将 36例确诊为胆总管结石梗阻所致ACST患者给予乳头开窗、退刀切开或推进切开不同术式的十二指肠乳头括约肌切开术 (EST)及胆管取石术。结果 ACST内镜治愈率为 97.2 % ,取石成功率为 10 0 %。术后结石残余率为 0。结论 经内镜治疗胆总管结石梗阻所致ACST安全、可靠、成功率高、痛苦小。

Purpose [WT5”BZ]To evaluate the efficacy and safety of endoscopic intervention in treating acute cholangitis of severe type(ACST).[WT5”HZ]Materials and methods[WT5”BZ] 36 cases with ACST induced by obstruction of common bile duct(CBD)stones underwent endoscopic therapy.Once diagnosis had been established,endoscopic sphincterotomy(EST)was immediately performed and stone extraction was followed.[WT5”HZ]Results[WT5”BZ] The cure rate of ACST for all cases reached 97.2%(35/36)by endoscopic therapy.The stone discharge rate was 100%(35/35)and residual stone was not found in 35 cases treated by EST and stone extraction.[WT5”HZ]Conclusion [WT5”BZ]EST followed by stone extracion is a safe and effective method in management of ACST whith obstruction of CBD stones.[WT5”HZ]