摘要
目的探讨经胰管预切开对提高逆行性胰胆管造影(ERCP)中胆道插管成功率的作用及安全性。方法回顾性分析36例经胰管预切开术后再进行治疗性ERCP术患者的临床资料。结果36例拟行治疗性ERCP病例,常规插管无法完成胆道插管,经胰管预切开后胆道插管成功34例(94.4%),术后并发胰腺炎4例(11.1%),上消化道出血管1例(2.78%),均保守治愈。结论在导丝可进入胰管而选择性胆管插管困难的情况下,经胰管预切开可提高选择性胆道插管成功率,但术后胰腺炎发生率较高。
[Objective] To investigate the effects and safety of transpancreatic duct precutting to access the effectiveness of cannulation of biliary duct on ERCP treatment. [Method] Retro-analyzing the data of 36 cases treated with further therapeutic ERCP after transpancreatic duct precutting. [Result] 36 cases planned to have therapeutic ERCP treatment, for no biliary duct cannulation could be done according to the standard procedure, cannulation of biliary duct followed by transpancreatic duct precutting were successfully done in 34 cases （94.4%）. Afterwards, 4 cases complicated with mild pancreatitis（11.1%）, 1 with hemorrhage of upper digestive tract（2.78%） , yet all recovered completely under conservative approaches. [Conclusion] In the condition of the selective cannulation of biliary duct is hardly underwent but the guide wire could still be put into the pancreatic duct, transpancreatic duct precutting is an efficacious method with the high successful rate of selective cannulation of biliary duct, but also associated with a risk for pancreatitis.
出处
《中国内镜杂志》
CSCD
北大核心
2006年第11期1131-1132,1135,共3页
China Journal of Endoscopy
关键词
经胰管
预切开
内镜
逆行性胰胆管造影
胆道疾病
transpancreatic duct
pre-cut
endoscope
retrograde cholangiopancreatography
bile tract disease
