摘要
目的分析微创介入治疗急性化脓性胆管炎（ASC）的疗效。方法对28例ASC患者经微创介入治疗的临床资料进行回顾性分析。结果5例乳头部结石嵌顿行内镜逆行胰胆管造影（ERCP）＋针式电刀开窗后直接取净结石或结石自行排出；6例单个胆管结石行ERCP＋内镜下乳头括约肌切开术（EST）后直接取石或结石自行排出；15例多发结石行ERCP＋内镜下鼻胆管引流（ENBD），待胆管炎症症状缓解和全身状况好转后行ERCP＋EST取石成功，2例多发结石ERCP＋ENBD症状缓解后内镜取石失败，行常规手术后痊愈。结论微创介入技术治疗ASC具有创伤小、成功率高、恢复快等特点，且并发症少。
Objective To analyze the effects of minimally invasive intenvention on acute suppurative cholan- gitis（ASC）. Methods The clinical data of 28 patients with ASC and performed with endoscopic therapy were ana- lyzed. Results 5 patients with a single stone incarcerated in the duodenal nipple were performed with ERCP and nee- die electrode fenestration to removed the stone. 6 patients with a single stone were performed with endoscopic sphinete- rotomy（EST）. 15 patients are successfully performed with ERCP ＋ EST after cholangitis and general situation turned better. 2 patients failed with endoscopic therapy, and they were recovered treated with conventionalsurgery. Conclusion Minimally invasive intenvention on ASC has characteristics of quick,minimally invasive surgery, high success rate, rapid recovery, and fewer complications.
出处
《中国基层医药》
CAS
2012年第23期3535-3536,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
胆管炎
胰胆管造影术
内窥镜逆行
括约肌切开术
内窥镜
Cholangitis
Cholangiopancreatography, endoscopic retrograde
Sphincterotomy, endoscopic
