内镜下十二指肠乳头括约肌切开术治疗胆总管结石的分析

Analysis of endoscopic sphincterotomy in the therapy for bile duct stones

目的:探讨内镜下十二指肠乳头括约肌切开术治疗胆总管结石的可行性,安全性。方法:对施行内镜下十二指肠乳头括约肌切开术治疗胆总管结石45例病例进行回顾性分析。结果:治疗成功43例,成功率为95.6%,一次成功30例,延期1周后2次取石成功13例。2例治疗失败,发生率4.4%。结论:内镜下EST治疗胆总管结石、高效、微创、痛苦小、安全性高。

Objective： To study the feasibility and safety of endoscopic sphincterotomy（EST） in the therapy of common bile duct stones.Methods： The clinical dates of 45 cases with bile duct stones which underwent EST surgery were retrospectively analyzed.Results： 43 cases with common bile duct stones were Successful treatment by EST,the success rate was 95.6%.30 cases were Successful treatment in the first time,13 cases were success-ful treatment at the second time after a week.2 cases were failed,the rate was 4.4%.Conclusion： EST was demonstrated to be a effective,less invasive,less painful,and safe treatment for cases with common bile duct stones.