内镜下逆行胰胆管造影加取石术诊治胆总管结石

Diagnostic and therapeutic value of endoscopic retrograde cholangio pancreatography and endoscopic sphincterotomy for choledocholithiasis

[目的]评价内镜下逆行胰胆管造影(ERCP)同时行乳头括约肌切开术(EST)对胆总管结石的诊断与治疗价值。[方法]回顾性分析98例经B超检查诊断为胆总管结石的患者,先行ERCP检查,再行内镜下EST治疗胆总管结石。[结果]98例中ERCP准确诊断胆总管结石96例,怀疑胆总管结石1例,未发现异常1例,其确诊率为97.9%。96例EST后采取网篮取石、球囊取石和机械碎石网篮取石成功,1例失败。[结论]ERCP对胆总管结石诊断价值较高。EST是一种治疗胆总管结石安全、有效、简便的方法。

[Objective] To evaluate the diagnostic and therapeutic value of endoscopic retrograde cholangio pancreatography （ERCP） and endoscopic sphincterotomy （EST） for choleocholithiasis. [Methods] Ninety-eight choleocholithiasis patients diagnosed through B-ultrasonic were performed ERCP and EST. All the imaging data were analyzed retrospectively. [Results] As the result of ERCP, among ninety-eight cases, ninety-six were choleocholithiasis, one case was sus- pected choleocholithiasis and one case was normal, with the diagnostic accuracy 97.9%. EST was successful for ninety-six cases, failure for one. [Conclusion]ERCP has important value in diagnosing choleocholithiasis and EST is one of safe, reliable and simple therapeutic methods.