内镜下乳头括约肌切开术、柱状气囊扩张术及针状刀乳头括约肌预切开术治疗胆总管结石的有效性和安全性研究

The Effectiveness and Safety of Endoscopic Papillary Sphincter Incision, Column Shaped Balloon Dilatation and Needle Knife Nipple Sphincter Incision in the Treatment of Common Bile Duct Stones

目的对内镜下乳头括约肌切开术(EST)、柱状气囊扩张术(EPBD)及针状刀乳头括约肌预切开术(NKS)的有效性和安全性进行探析。方法抽选我院接诊的90例胆总管结石患者,分为三组使用不同治疗方法进行治疗。结果 A组患者的一次取石成功率、碎石器使用次数、取石次数分别是93.3%、13次、24次,B组是86.7%、8次、26次,C组是100%、3次、15次,差异性显著(P<0.05)。结论针状刀乳头括约肌预切开术的安全性与有效性略优于其他两种治疗方式。

ObjectiveTo study the effectiveness and safety of endoscopic papilary sphincter incision （EST）, EPBD, and NKS.Methods90 cases of common bile duct stones were selected in our hospital, divided into three groups with different treatment methods of treatment.Results A group of a patient when the stone success ratio and lithotriptor use, the number of times respectively in 93.3% and 13 and 24 times, Group B are 86.7% and 8 and 26 times, C are 100% and 3 and 15 times, different remarkable （P〈0.05）.Conclusion The safety and effectiveness of the needle knife nipple sphincter incision is better than the other two methods.