不同预切开术在ERCP困难插管时的应用进展

Application of different precuting techniques in the difficult cannulation of ERCP

内镜逆行胰胆管造影术(endoscopic retrograde cholangiopancreatography,ERCP)已逐渐成为治疗性ERCP,困难插管是治疗性ERCP的常见难题,解决困难插管的常用方法之一即预切开术,根据具体情况选择不同的预切开术可提高插管成功率、降低并发症发生率等,本文主要阐述不同预切开术在困难插管时的应用、插管成功率、并发症发生率及注意事项。

Endoscopic retrograde cholangiopancreatography (ERCP) has become therapeutic ERCP gradually. Difficult cannulation is a common problem in therapeutic ERCP. One of the commonly used methods to solve difficult cannulation is precuting, and different precutings are needed according to specific conditions. The incision technique can increase the success rate of cannulation and reduce complications. This article mainly describes the application of different precuting techniques in difficult cannulation, the success rate of cannulation, the incidence of complications, and precautions.