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内镜治疗胆总管结石 被引量:10

ENDOSCOPE FOR COMMON BILE DUCT STONES
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摘要 目的 内镜治疗胆总管结石在外科临床应用的价值。方法 对 39例胆总管结石经内镜下行逆行胰胆管道影证实 ,经内镜十二指肠乳头括约肌切开 ,行网篮取石 ,碎石网篮碎石 ,气囊导管排石。结果 治愈率约 90 % ,术后恢复良好 ,并发症极少。结论 ERCP对胆石症术后的并发症或其症状再发诊断价值高。EST治疗已成为非手术治疗胆管结石的有效手段 ,约有 90 %的胆管结石病人可达到治愈 ,缩短了住院时间 ,病人痛苦小 。 Objective To evaluated the clinical practice value of endoscope treating for common bile duct stone.Methods 39 patients with common bile duct stone were confirmed by endoscopic retrograde cholangiopancreatography(ERCP),then underwend endoscopic sphincterotomy(EST)、basket stone taken、endoscopic basket lithertrpsy and ballon-catheter stone taken.Results Recovery rate was 90%,with fewer camplication cases.Conclusion The diagnostic value of ERCP in the recrudescences of common bile duct stoner and its operational complications was very high.EST has become an effective mean in non-operation treatment for commn bile duct stone,its recovery rate was about 90% with shortening the hospitalization period,relieving the suffering of patients and ensuring a quick recovery.
出处 《肝胆外科杂志》 2000年第5期356-357,共2页 Journal of Hepatobiliary Surgery
关键词 胆总管结石 网篮取石 碎石网篮 内镜 Common bile duct stone Endoscopic sphincteretomy Endoscopic retrograde cholangiopancreatography Basket stone taken Edoscopic basket lithertrpsy
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  • 1鲁焕章.中西医结合非手术疗法配合乳头括约肌切并治疗胆管结石115例报告[J].中西医结合杂志,1986,6(12):728-728.
  • 2鲁焕章.应用EST治疗胆道病的体会[J].实用外科杂志,1987,7(9):488-488.
  • 3吴咸中.中西医结合治疗急腹症的回顾与展望[J].中国中西医结合外科杂志,1996,2(5):381-383. 被引量:4

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