摘要
目的探讨塑料支架内引流(ERBD)术治疗难取性胆总管结石的疗效。方法采用常规方法行经内镜逆行胰胆管造影(ERCP)造影,对48例胆总管难取性结石患者在导丝引导下置入8.5F塑料胆管内支架1、2根,并随访6～18个月。结果 6个月后B超复查时发现38例患者结石直径变小或成碎片状,第2次ERCP经网篮或气囊顺利取出;10例结石无明显变化,B超随访,一旦发现结石明显变小,即再次ERCP+取石;经平均2.5次内镜下治疗,95.8%(46/48)患者结石取净。期间未发生与ERCP或留置支架相关的严重并发症。结论留置塑料内支架是治疗难取性胆总管结石简单有效的方法。
[Objective] To evaluate the efficacy of plastic stents in the management of difficult common bile duct（CBD） stones.[Methods] 48 patents with difficulty to extract CBD stones after ERCP were included in this study.One or two 8.5F plastic stent was instered into the CBD of all the subjects,respectively,over a guidewire by the standard way.They were followed up from 6 to 18 months.[Results] In 38 patients,B ultrasonography revealed that the stones became smaller than before or became stone fragments after stent placement 6 months later in the CBD,the stones were easily extracted by using balloons or baskets through the second ERCP.10 patients continued to have large stones,they were followed up through B ultrasonography,and further endoscopic treatments were performed immediately when the stones became smaller.enough.46/48 Difficult CBD stones were eventually cleared through average 2.5 times endoscopic treatment.There was no severe complications related to ERCP or stent placement.[Conclusion] Placement of plastic biliary stents is a simple and effective measure in the treatment of difficult CBD stones.
出处
《中国内镜杂志》
CSCD
北大核心
2011年第6期619-621,共3页
China Journal of Endoscopy
