ERCP治疗左右肝管结石48例

Treatment of left and/or right hepatic duct stones by endoscopic retrograde cholangiopancreatography: an analysis of 48 cases

目的:探讨ERCP在左右肝管结石治疗中的应用价值.方法:连续收集左右肝管结石患者(n=48),根据病情特点,在ERCP术中依次采用取石网篮直接取石法、带导丝取石网篮取石法、胆道取石球囊取石法、胆道取石球囊吸引法进行左右肝管取石术.结果:左右肝管结石48例的ERCP取石成功42例,成功率为87.5%.其中取石网篮直接取石48例,成功19例;带导丝取石网篮取石29例,成功11例;胆道取石球囊取石18例,成功6例;胆道取石球囊负压吸引取石12例,成功6例.结论:ERCP术可以有效地治疗左右肝管结石.

AIM： To evaluate the therapeutic value of endoscopic retrograde cholangiopancreatography （ERCP） in the management of left and/or right hepatic duct stones. METHODS： The clinical data for 48 patients with left and/or right hepatic duct stones who underwent ERCP in People’s Hospital of Guangxi were retrospectively analyzed. Stones were removed using basket or balloon techniques. RESULTS： Stones were successfully removed in 42 patients, and the success rate was 87.5%. Among those recover patients, 19 cases were firstly and directly done by using basket in all 48 patients, and 11 cases were then done by guide wire basket in left 29 patients, and 6 cases of 18 patients were done by strong balloon in third step. Finally, 6 cases of 12 critical patients were done by sucking stone with balloon. CONCLUSION： ERCP is effective in treating the left and/or right hepatic duct stones.