逆行胰胆管造影在肝外胆管结石中的治疗价值

The therapeutic value of endoscopic retrograde cholangio-pancreatography in extrahepatic bile duct stone disease

目的探讨肝外胆管结石的内镜下治疗价值。方法内镜下行十二指肠乳头插管,选择性胆道插管成功造影后,视情况行乳头切开,在X-线透视下用碎石器碎石,网篮、气囊取石或放置胆道内支架引流。结果共治疗21例,其中肝外胆管结石取净17例,放置内支架4例。结论内镜下治疗肝外胆管结石安全、有效、并发症少,是目前治疗肝外胆管结石理想方法 。

Objective To discuss the endoscopic therapy of the extrahepatic bile duct stone disease. Methods Duodenal papilla intubation was conducted under endoscope. After the success of selective bile duct imaging, endeseopic sphincterotomy （EST） was undergone depending on the situation. Under the x-ray fluoroscopy the stone was broken with lithotripter, taken out with wire basket or ballonet or a biliary stem for drainage was placed. Results There was a total of 21 cases, of which 17 cases resulted in a net removal of extrahepatic bile duct stone, and 4 cases completed stem placement. Conclusion Endoscopic retrograde cholangio-pancreatography（ ERCP） treatment of extrahepatic bile duct stones is safe and effective with few complications, and is the ideal method for the treatment of extrahepatic bile duet stone.