98例内镜下逆行胰胆管造影加取石术诊治胆总管结石临床分析

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(EPCP)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 choleocholi thiasis. Methods Ninety- eight choleocholithiasis patients diagnosed through Bultrasonic 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 suspected eholeocholithiasis 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 diagno sing choleocholithiasis and EST is one of safe, reliable and simple therapeutie methods.