摘要
目的通过对内镜逆行胰胆管造影(ERCP)术中选择性胆管插管困难(DSBC)患者应用双导丝插管术进行插管法的分析,探讨在面临胆管插管困难时应用该技术的成功率及相关并发症。方法对2009年8月至2013年4月70例DSBC但导丝又可进入胰管的患者进行分组,双导丝插管组34例应用双导丝插管术进行插管,常规组36例应用常规方法进行插管。结果双导丝插管组34例应用双导丝插管术进行胆管插管成功32例(94.1%),常规组36例成功11例(30.6%),前者高于后者(P<0.05);两组并发症分别为3例、10例(P<0.05)。结论 ERCP术中DSBC患者应用双导丝插管术进行插管可提高插管的成功率,并发症少,值得在临床推广应用。
Objective To explore success rate and related complications of applying double-guide wire technique in endoscopic retrograde cholangiopancreatography (ERCP) when patients encounter the difficulty of selective biliary cannulation (DSBC). Methods A total of 70 patients with DSBC whereas successful entry of guidewire into the pancreatic duct admitted from August 2009 to April 2013 were enrolled and divided into the double-guide wire technique group (n = 34 ) and the routine intubation group (n = 36 ). Results Thirty two cases (94. 1% ) were successfully treated with double-guide wire technique and 3 cases presented with complications. In the routine intubation group, 11 patients (30. 6% ) had successful intubation and 10 cases had relevant complications ( both P 〈 0. 05 ). Conclusion Double-guide wire technique can improve the success rate and yield few complications in treatment of patients suffering from DSBC in ERCP, which is worthy of widespread clinical application.
出处
《新医学》
2014年第8期539-541,共3页
Journal of New Medicine
关键词
内镜逆行胰胆管造影
选择性胆管插管困难
双导丝插管术
Endoscopic retrograde cholangiopancreatography
Difficulty of selective biliary cannulation
Double-guide wire technique