摘要
目的探讨ERCP在胆道外科治疗中的应用价值。方法回顾性分析近3年(2003年1月至2006年1月间)胆道术后残余结石及再生结石行乳头括约肌切开取石122例,腹腔镜胆囊切除术(LC)术后胆瘘行鼻胆管引流(ENBD)13例,原位肝移植术后胆管狭窄行胆管球囊扩张,放置胆管内支架或鼻胆管引流6例。结果122例胆道术后残余结石及再生结石患者经十二指肠镜胆道造影(ERC)成功率95.9%,取石成功率91.5%,其中有5例经2次操作取尽结石。13例胆瘘患者经鼻胆管引流2～3周后,胆瘘处均闭合,无严重并发症发生。6例胆管狭窄患者经ERC胆道介入(球囊扩张、ENBD或内支架)均治愈。结论ERCP在胆道外科治疗中具有重要应用价值,是术后残余结石或再生结石、术后胆瘘及术后胆管狭窄的有效介入方法。
Objective To explore the values of ERCP in surgical therapy of biliary tracts. Methods Totally 141 cases treated with ERCP were analyzed retrospectively, including 122 patients with remnant or regenerated calculus after biliary tract operation, 13 patients whose gallbladders were resected by laparoscopic cholecystectomy （ LC ） and given the endoscopic nasobiliary drainage （ENBD） because of biliary fistulas, and 6 patients with biliary tract stricture after orthotopic liver transplantations treated by bile vessel dilation using sacculus proprius, endoprosthesis placement in biliary duets or ENBD. Results The achievement ratio of ERCP operation was 95.9% and calculus removal ratios was 91.5% in 122 patients. There was no serious complications in 13 patients with biliary fistulas and the biliary fistulas healed completely by ENBD after 2 - 3weeks. The 6 patients with stricture of bile ducts were cured by biliary tracts intervention with endoscopic retrograde cholangiography （ERC）. Conclusion ERCP is one of the important method in surgical therapy of biliary tract diseases.
出处
《胃肠病学和肝病学杂志》
CAS
2007年第3期277-279,共3页
Chinese Journal of Gastroenterology and Hepatology
