无痛技术在困难内镜逆行胰胆管造影取石术中的应用

Application of anodynia technology in lithotomy with difficult endoscopic retrograde choledochopancreatography (ERCP)

目的探讨无痛技术在困难内镜逆行胰胆管造影术(ERCP)取胆总管结石中的可行性和安全性。方法分析2005年7月～2009年12月185例在静脉麻醉下和120例咽喉局部表面麻醉下行困难ERCP取石治疗的患者临床资料。结果静脉麻醉下内镜下成功取石176例,失败9例,成功率95.1%,取石后并发症6例,并发症发生率3.4%。咽喉部麻醉下内镜下成功取石例88例,失败32例,成功率73.3%,取石后并发症7例,并发症发生率6.2%。结论无痛技术在困难ERCP取石治疗中使用安全,能使取石成功率提高。

Objective To discuss the application and safety of anodynia technology in difficult endoscopic retrograde choledochopancreatography （ERCP） calculus-removed operation.Method The clinical data of cases performed difficult endoscopic retrograde choledochopancreatography （ERCP） calculus-removed operation from July 2005 to December 2009,among which 185 cases under intravenous anesthesia and 120 cases under throat anesthesia,were analyzed.Result Among intravenous group,there were 176 cases whose stones were removed successfully,with a ratio of 95.1%,and 9 cases failed.Complication after operation occurred in 6 cases,with a rate of 3.4%.Among throat anesthesia group,there were 88 cases whose calculus were removed successfully,with a ratio of 73.3%,and 32 cases failed.Complication after operation occurred in 7 cases,with a rate of 6.2%.Conclusion Application of anodynia technology in difficult endoscopic retrograde choledochopancreatography （ERCP） calculus-removed operation is safe and can improve the successful rate.