内镜下乳头气囊扩张术治疗胆总管结石的临床观察

Clinical observation of endoscopic papillary balloon dilatation(EPBD) in treating patients of common bile duct stones

目的探讨内镜下乳头气囊扩张术（EPBD）治疗胆总管结石的临床效果。方法选取2009～2010年我院收治的104例胆总管结石患者作为研究对象，随机分为治疗组和对照组。对照组患者采用传统的外科开腹手术进行治疗；治疗组患者采用内镜下乳头气囊扩张手术，观察两组患者手术的成功率及术后患者并发症情况。结果治疗组因有2例患者的结石〉2cm，改用外科开腹手术，对照组患者取石的成功率为100％，治疗组为97．8％。但治疗组患者并发症少于对照组。结论内镜下乳头气囊扩张术是一项安全、可靠性较强、禁忌证较少、对胆管括约肌无损伤的治疗胆总管小结石的有效方法．但还需更深一步的研究和观察。

Objective To investigate the effect of Endoscopic Papillary Balloon Dilation for treatment of choledocholithiasis clinical therapeutic effect. Methods Selected 104 cases choledocholithiasis patients in our hospital from 2009 to 2010 as the study objects, divided them into treatment group and control group, patients in the control group were given conventional surgical laparotomy operation treatment, the treatment group were treated by endoscopic papillary balloon dilation operation for treatment, two groups were observed in patients with operation success rate and patients with complications after operation. Results The treatment group with two patients with stones 〉2 cm, surgical laparotomy for treatment, the control group patients take stone of the success rate was 100%, 97.8% in the treatment group.But the treatment group of patients with complications were much lower than in the control group patients. Conclusion Endoscopic papillary balloon dilatation is a safe, high reliability, less of the bile duct sphincter without contraindications, treatment of the injury of small common bile duct calculus, but also needs further research and observation.