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提高纤维十二指肠镜逆行胰胆管造影成功率的问题

Issue on Improving the Success Rate of Improving the Fiberduodenoscop-ic Endoscopic Retrograde Cholangio-pancreatography
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摘要 目的对提高经纤维十二指肠镜逆行胰胆管造影(ERCP)成功的经验进行总结。方法对该院2014年1月—2017年1月收治的81例经十二指肠镜逆行胰胆管造影患者造影成功率进行回顾总结,并与该院同期采用常规B超检查60例患者的B超检查图像质量清晰率进行对比,以进行纤维十二指肠镜逆行胰胆管造影的临床应用价值及基层医院开展(ERCP)如何提高插管成功率的有关问题进行研究。结果 81例患者的插管成功率为93.0%(76/81),且后期成功率比较高,能够满足临床需求;常规B超检查的插管成功率为83.3%(53/60)。二者对比,差异有统计学意义(χ~2=4.126,P<0.05)。结论经十二指肠镜逆行胰胆管造影在基层医院临床应用中具有显著的推广应用价值,值得进行推广应用。 Objective To summarize the success experience of improving the fiberduodenoscopic endoscopic retrograde cholangio-pancreatography. Methods The success rate of 81 cases of patients with fiberduodenoscopic endoscopic retrograde cholangio-pancreatography in our hospital from January 2014 to January 2017 was reviewed and summarized,and the B ultrasound examination imaging quality clearance rate of 60 cases with routine B ultrasound examination at the same period was used for comparison, and the clinical application value of fiberduodenoscopic endoscopic retrograde cholangio-pancreatography and how to improve the success rate of improving the cannula success rate in the primary hospital were studied. Results The cannula success rate of 81 cases was 93.0%(76/81), and the late success rate was higher, which could meet the clinical demands, and the canula success rate of routine B ultrasound examination was 83.3%(53/60), and the difference was statistically significant(χ^2=4.126, P 〈0.05). Conclusion The promotion and application value of fiberduodenoscopic endoscopic retrograde cholangio-pancreatography in the clinical application in the primary hospitals is obvious, which is worth promotion and application.
作者 陆文明 LU Wen-ming(Department of General Surgery,Gejiu Hospital of TCM,Gejiu,Yunnan Province,661400 China)
出处 《系统医学》 2018年第13期74-76,共3页 Systems Medicine
关键词 纤维十二指肠镜 胆道 造影 Fiberduodenoscopic Biliary tract Radiography
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