摘要
内镜乳头括约肌切开术 (EST)是胆总管结石和蛔虫嵌顿的常规治疗方法之一。为保留Oddi’s括约肌天然生理功能 ,降低EST所致出血和穿孔等严重并发症 ,作者用内镜乳头小切开联合气囊扩张术治疗胆总管结石嵌顿 7例、胆总管蛔虫嵌顿残留 2例。结果 :胆总管 1次结石排净率 85 .7% ,排虫率 10 0 % ,ACST缓解率10 0 % ,无出血穿孔和死亡。结论 :EST应严格掌握适应证、能不切开尽量不切开 ,能作小切开不作大切开 ,尽量保护Oddi’s括约肌这一天然生理屏障。EST与气囊扩张相结合可负补其不足 ,增加胆管插管成功率 ,降低并发症。
The endoscopic sphincterotomy (EST) is a general cured method of common bile duct stone and bellyworm impacted. In order to keep down the natural function of the Oddi sphincter. Fall the severe complication with ballonet dilatation treated 4 common bile duct stone and 2 bellyworm patients. Results: The rates of eject stone in a lump was 85.7%, the rates of eject bellyworm was 100%, there was not bleeding/perforation and deadness. Conclusions: EST ought to mastery strictly the application, may not incision to the best of one's abilities, can small incision were not do big one, do the best protect Oddi's aphincter abilities of the nature barrier.
出处
《中国内镜杂志》
CSCD
2000年第3期5-6,共2页
China Journal of Endoscopy
基金
云南省中青年学术技术带头人后备人才基金
关键词
胆总管结石
蛔虫嵌顿
小切口EST
球囊扩张
治疗
Impacted Stone and Bellyworn in Common Bile Duct
Small Incision EST
Ballonet Dilation