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 - ultrasonic were performed ERCP and EST.All the imaging data were analyzed retrospectively. Results：As the result of ERCP,among ninety eightcases, ninetysix were choleocholithiasis, one case was suspected choleocholithiasis and one case was normal, with the diagnostic accuracy 97.9%. EST was successful for ninetysix cases, failure for one. Conclusions： ERCP has important value in diagnosing choleocholithiasis and EST is one of safe, reliable and simple therapeutic methods.