肝硬化合并胆总管结石两种内镜治疗方案疗效的比较
被引量:5
摘要
多项研究发现,肝硬化患者胆石症发生率明显高于正常人群,而胆总管结石则占胆石症患者的15%-20%,因此临床上肝硬化合并胆总管结石者较为多见^[1],且若并发急性胆管炎、胆道梗阻时治疗甚为棘手。内镜下乳头切开(EST)术具有无需全身麻醉、创伤小、并发症少、恢复快等优点,因此目前已成为胆石症治疗的有效手段,
出处
《浙江医学》
CAS
2009年第9期1279-1280,共2页
Zhejiang Medical Journal
参考文献8
-
1Park D,M-H K,Lee S,et al.Endoscopic sphincterotomyvs endoscopic papillary balloon dilation for choledocholithiasis in patients with liver cirrhosis and coagulopathy[J].Gastrointest Endosc,2004,60:180-185.
-
2Chijiiwa K,Kozaki N,Naito T,et al.Treatment of choice for choledocholithiasis in patients with cute obstructive suppurative cholangitis and liver cirrhosis[J].Am J Surg,1995,170:356-360.
-
3Sugiyama M,Atomi Y,Kuroda A,et al.Treatment of choledocholithiasis in patients with liver cirrhosis.Surgical treatment or endoscopic sphincterotomy[J]? Ann Surg,1993,218:88-73.
-
4Freeman M L,Nelson D B,Sherman S,et al.Complications of endoscopic biliary sphincterotomy[J].N Engl J Med,1996,335:909-918.
-
5Cotton P B,Lehman G,Vennes J A,et al.Endoscopic sphincterotomy complications and their management.an attempt at consensus[J].Gastrointest Endosc,1991,37:383-391.
-
6Hill J,Maxwell A J,Tweedle D E F,et al.Do measured parameters of blood clotting help predict haemorr hage after endoscopic sphincterotomy[J]? Gut,1990,31:A608.
-
7Prat F,Tennenbaum R,Ponsot P,et al.Endoscopic sphincterotomy in patients with liver cirrhosis[J].Gastrointest Endosc,1996,43:127-131.
-
8Cotton P B,Lehman G,Vennes J A,et al.Endoscopic sphincterotomy complications and their management.an attempt at consensus[J].Gastrointest Endosc,1991,37:383-391.
同被引文献50
-
1乐明辉,梁鸿斌.胆石症合并肝硬化的外科治疗探讨[J].遵义医学院学报,2005,28(5):442-444. 被引量:2
-
2冯志松,黄涛,任权,冯迎春,黄日文,廖娟.中药泻下法治疗重症急性胰腺炎的临床观察[J].中国中西医结合急救杂志,2007,14(1):11-13. 被引量:44
-
3李小平,王金波,孙柯科.Oddi括约肌气囊扩张取石治疗肝硬化合并胆总管结石的安全性探讨[J].中华消化内镜杂志,2007,24(3):215-217. 被引量:9
-
4Zhang Y, Liu D, Ma Q, Dang C, Wei W, Chen W. Factors influencing the prevalence of gallstones in liver cirrhosis. J Gastroenterol Hepatol 2006; 21: 1455-1458.
-
5Sierra Y, Waxman I. Choledocholithiasis in the Set- ting of Portal Hypertension. Curr Treat Options Gas- troenterol 2001; 4:133-137.
-
6Sugiyama M, Atomi Y, Kuroda A, Muto T. Treat- ment of choledocholithiasis in patients with liver cirrhosis. Surgical treatment or endoscopic sphinc- terotomy? Ann Surg 1993; 218:68-73.
-
7Dunnington G, Alfrey E, Sampliner R, Kogan F, Putnam C. Natural history of cholelithiasis in pa- tients with alcoholic cirrhosis (cholelithiasis in cir- rhotic Datients: Ann Sur. 1987: 205:226-229.
-
8令狐巴强,杨云生,李志群,李闻,蔡逢春,孙刚,黄启阳,杜红,王向东,孟江云,孔金艳食管胃静脉曲张患者伴胆胰疾病内镜下治疗研究.中华腔镜外科杂志2011;4:362-364.
-
9Moreira VF, Arribas R, Sanroman AL, Mero.o E, Larena C, Garcia M, Torres G. Choledocholithiasis in cirrhotic patients: is endoscopic sphincterotomy the safest choice? Am J Gastroentero11991; 86:1006-1010.
-
10Chijiiwa K, Kozaki N, Naito T, Kameoka N, Tanaka M. Treatment of choice for choledocholithiasis in patients with acute obstructive suppurative cholan- gitis and liver cirrhosis. Am J Surg 1995; 170:356-360.
引证文献5
-
1李素萍,薛迪强,杜宏伟,何晓霞.内镜下治疗肝硬化食管胃底静脉曲张并胆总管结石52例[J].世界华人消化杂志,2012,20(32):3154-3158. 被引量:4
-
2武聚山,李磊,宋艳明,封莉,李冰.肝硬化患者经内镜逆行胰胆管造影治疗的安全性分析[J].临床肝胆病杂志,2014,30(12):1267-1271. 被引量:3
-
3孙趁意,徐刚,李振峰.逆行胆胰管造影术应用于胆总管结石合并肝硬化患者治疗中的疗效[J].临床医药文献电子杂志,2016,3(20):3985-3986. 被引量:1
-
4张哲,赵保民.食管胃静脉曲张破裂出血合并急性梗阻性化脓性胆管炎急诊救治成功1例[J].中华胃肠内镜电子杂志,2020,7(4):211-212. 被引量:3
-
5熊伟,彭显丹,肖秀丽,张锦,郑晶,吕勇,付唆林,周文.柴芍承气汤加乌梅灌肠减少胆总管结石合并肝硬化患者ERCP取石术后并发症的效果[J].福建医药杂志,2022,44(2):46-49. 被引量:1
二级引证文献12
-
1马茂源,蒋国斌,王翔,缪林,季国忠,王敏.胆总管结石合并肝硬化患者行ERCP的临床价值[J].世界华人消化杂志,2013,21(33):3736-3741. 被引量:5
-
2武聚山,李磊,宋艳明,封莉,李冰.肝硬化患者经内镜逆行胰胆管造影治疗的安全性分析[J].临床肝胆病杂志,2014,30(12):1267-1271. 被引量:3
-
3肖景田.肝硬化患者经内镜逆行胰胆管造影治疗的安全性分析[J].临床医药文献电子杂志,2015,2(32):6627-6627.
-
4张俊,宋爱敏.肝硬化患者食管胃底静脉曲张内镜下治疗前后CT测量脾脏指数变化的临床研究[J].现代消化及介入诊疗,2016,21(4):614-616. 被引量:1
-
5张永琪.经内镜逆行胰胆管造影并发症的防治分析[J].临床合理用药杂志,2017,10(32):164-165.
-
6肖定,游建,何鑫,金鑫,纪桂宝,温松奇,刘贤莉.37例胆总管结石合并肝硬化病人经内镜取石治疗的临床分析[J].腹部外科,2017,30(6):460-463. 被引量:7
-
7张敬坡,冯雷,秦静,张海涛,张传宝,孙江义.肝硬化合并胆总管结石患者行ERCP的临床分析[J].肝胆外科杂志,2017,25(6):457-460. 被引量:6
-
8姜海波,王俊梅,刘贯华.ERCP治疗胆总管结石合并肝硬化的效果分析[J].天津医科大学学报,2018,24(2):162-164. 被引量:7
-
9高艳楠,吴雪红,齐健.老年急性上消化道出血发病因素与治疗的研究进展[J].老年医学与保健,2021,27(4):896-899. 被引量:5
-
10郭勇杭.内镜下套扎和组织胶注射治疗食管及胃底静脉曲张患者的临床效果[J].黑龙江医药,2021,34(5):1065-1067. 被引量:2
-
1石春凤,王书智,蔡妮.高龄患者内镜下乳头切开取石术的护理115例[J].中国实用护理杂志,2004,20(11):21-22. 被引量:2
-
2周明芹.腹腔镜胆囊切除术的护理[J].中华腹部疾病杂志,2006,6(4):287-287.
-
3刘英祥.手术治疗肝内胆管结石42例[J].实用医药杂志,2004,21(8):713-713.
-
4王艳.胆石症治疗中外科的作用[J].日本医学介绍,1992,13(12):552-553.
-
5楚得胜,粱久银,李凯琅.大柴胡汤在胆石症治疗中的药理作用[J].内蒙古中医药,2011,30(6):112-113. 被引量:5
-
6卫好国,余尚荣,李士骏.胆石症治疗的进展[J].山西医药杂志,1989,18(1):41-43. 被引量:1
-
7王宏光,陈训如.内镜下乳头切开治疗胆总管结石的长期疗效[J].中华消化内镜杂志,2004,21(5):359-360. 被引量:5
-
8王光新.老年人胆石症治疗的体会(附158例报告)[J].腹部外科,1997,10(3):127-127. 被引量:1
-
9徐琳,王峰,张宇飞,宣佶.内镜下乳头切开与开腹胆道探查治疗胆总管结石合并肝硬化的疗效比较[J].外科理论与实践,2011,16(6):587-588. 被引量:5
-
10李培明,彭志海,张威浩,罗珉.逆行胰胆管造影在肝移植中的应用[J].临床外科杂志,2005,13(7):431-432.