摘要
目的探讨内镜下十二指肠乳头括约肌切开术(EST)治疗十二指肠乳头旁憩室合并胆总管结石的治疗方法及价值。方法对35例十二指肠乳头旁憩室合并胆总管结石患者行内镜下十二指肠乳头括约肌切开术(EST),并行网篮取石和(或)机械碎石后网篮取石。结果35例行EST后34例取净结石,结石取净率97%。其中大切开6例,中切开25例,小切开4例。术后无出血、穿孔及死亡病例。术后AKP、r-GT、TB、DB等生化指标较术前明显下降。随访后33例治愈无复发,随防平均时间2.3年。结论应根据憩室位置和结石大小因人而宜地选择合适的乳头切开长度,必要时采取碎石等其他辅助手段,可避免并发症的发生。
[Objective] To investigate the curative methods and value of the endoscopic therapy for periamullary diverticula combined with common bile duct stones. [Methods] We treated 35 patients with endoscopic sphincterotomy（EST） and blasket-extracting for the bile stones. [Result] The stones were removed successfully by EST in 34 of 35 patients（97%）, among which 6 cases in large cut, 25 cases in middle cut and 4 cases in small cut. There were no complications including hemorrhage, perforation and death happened after treatment. The biochemical results （AKP, r-GT, TB, DB） checked postoperatively turned apparently compared with the preoperative results. 33 patients were cured and had no recurrence after the follow-up of mean 2.3 years. [Conclusion] It should be respective in EST to choose the suitable cut basing on the location of diverticula and the size of the stones, and use assistant instruments necessarily for the purpose to avoid the complications happened.
出处
《中国内镜杂志》
CSCD
北大核心
2007年第2期157-159,162,共4页
China Journal of Endoscopy
