胆胰间膈小切口在困难胆道插管中的临床应用

Clinical Application of Small Incision in the Biliopancreatic Interval in Difficult Billiary Duct Cannulation

目的探讨胆胰间膈小切口在治疗性ERCP中困难胆管插管时的作用。方法回顾2007年6月至2010年12月间我院在治疗性ERCP中常规困难胆管插管86例患者采用胆胰间膈小切口后再行胆管插管,对胆管插管成功率和出血、穿孔及急性胰腺炎等并发症发生率进行总结分析。结果 86例困难胆管插管患者经胆胰间隔小切口后选择性胆管插管全部成功,无严重出血,穿孔及重症胰腺炎发生。结论胆胰间膈小切口技术在治疗性ERCP困难胆管插管中可明显提高选择性胆管插管成功率,安全有效。

Objective To investigate the effects of small incision in the biliopancreatic interval in difficult billiary duct cannulation of therapeutic ERCP. Methods A retrospective analysis of clinical data of 86patients who received billiary cannulation after small incision in the biliopancreatic interval when conventional method of cannulation proved difficult during ERCP from June 2007 to December 2010 in our hospital, including the success rate on billiary cannulation and the incidence of complications in bleeding, perforation and severe pancreatitis. Results All of the 86 cases with difficult billiary duct cannulation received selective billiary cannulation after small incision in the biliopancreatic interval were successful. No major bleeding, perforation or severe pancreatitis occurred. Conclusion The technique that small incision in the biliopancreatic interval in ERCP with difficult billiary duct cannulation can significantly improve the survival rate in selective billiary cannulation. It＇ s safe and effective in patients.