内镜下乳头气囊扩张术治疗胆囊切除术后胆总管结石

Endoscopic papillary balloon dilatation in management of common bile duct stone after cholecystectomy

目的 探讨经内镜乳头气囊扩张术 (EPBD)治疗胆囊切除术后胆总管结石的安全性和疗效。方法 对胆囊切除术后出现黄疸或胆管炎的 31例患者 ,利用EPBD结合取石篮、取石球囊或总攻方法 ,使梗阻于胆总管下段的结石排入肠道。结果 31例患者全部顺利实施EPBD ,共排除结石37颗 ,4例行 2次扩张术 ,术后患者均痊愈出院 ,复查B超无结石残存或胆管扩张。结论 经内镜治疗胆囊切除术后胆总管结石 ,安全、无创、有效 。

Objective To evaluate the efficacy and safety of endoscopic papillary bloon dilatation (EPBD) in management of common bile duct stone after cholecystectomy. Methods A total of 31 patients with CBD stone after cholecystectomy was admitted to our hospital for EPBD to remove the stones. Using basket or balloon catheter or Chinese Medicine, the CBD stone, which blocked in the end of CBD, were driven out into the intestines. Results All cases were underwent EPBD and a total of 37 stones of were excreted. Among these cases, there were 4 patients with 2 attempts. Al cases were completely recovered and out of the hospital. The B-us showed that there were no stones in CBD and there was no dilation the bile duct extensive. Conclusions EPBD is safe end effecitve to treat common bile duct stone after cholecystectomy, and exert good effects in reducing body hurt, shortening the hospital stay and decreasing hospital cost. It maybe the first choice for common bile duct stone after cholecystectomy.