经内镜逆行胰胆管造影术及其相关治疗

Endoscopic retrograde cholangiopancreatography and related treatment

目的:探讨经内镜逆行胰胆管造影术(ERCP)的诊断及治疗价值。方法:对71例具有ERCP指征的患者,先行十二指肠镜及ERCP检查,然后根据检查结果及临床需要,分别行十二指肠乳头括约肌切开(EST)取石术、鼻胆管引流术(ENBD)或胆总管支架置入术(ERBD)。结果:共有71例患者行ERCP检查,6例不成功,成功率为92%;胆管取石37例,EST39例,ENBD42例,ERBD5例;术后发生轻症胰腺炎1例,反流性胆管炎3例,并发症发生率为6%,无上消化道大出血、穿孔及重症胰腺炎等严重并发症。结论:经内镜逆行胰胆管造影术(ERCP)及其相关治疗技术是诊治胆胰疾病的重要手段,具有微创、诊断价值大、疗效显著且安全的优点,具有十分重要的临床意义。

Objective：To investigate the diagnostic and therapeutic value of the endoscopic retrograde cholangiopancreatog-raphy （ERCP）.Methods：71 patients indicating ERCP was examined with duodenoscopy and ERCP,and treated with operation of endoscopic sphincterotomy（EST）,endoscopic nosalbiliary drainage（ENBD）or endoscopic retrograde biliary drainage （ERBD）respectly according to examination and clinical demand.Results：All 71 patients were examined with ERCP,6 patients were not successfully finished,the success rate was 92%.At one time,37 patients′ biliary stone were removed successfully,39 patients were treated with EST,42 patients with ENBD, 5 patients with ERBD.After treatment,there were no serious complications including massive upper gastroinstinal hemorrhage,perforation,severe pancreatitis except for 1 case of mild pancreatitis and 1 case of reflux cholangitis.Conclusion：Endoscopic retrograde cholangiopancreatograph （ERCP） and relevant treatment are important diagnosis and therapy methods to biliary and pancreatic diseases,and have advantages of mini mal invasion,high diagnostic value,significant curative effect and safety,and is of very importance in clinic.