摘要
目的 探讨胃毕Ⅱ式术后肝胆管结石的ERCP检查及治疗。方法 对 74例胃毕Ⅱ式术后的病人进行ERCP检查的同时 4例经内镜乳头括约肌切开 (EST)、2例经内镜乳头气囊扩张术(EPBD)取石。 2 0例择期行胆总管十二指肠吻合术。结果 74例ERCP成功 5 8例 (78 4 % ) ,失败 16例。内镜及择期手术治疗者均无严重并发症。结论 胃毕Ⅱ式术后肝胆管结石者施行ERCP检查成功率较高并有临床意义 ,内镜或胆总管十二指肠吻合术疗效好。
Objective To explore the value of ERCP in diagnosis and treatment of intrahepatic and bile duct lithiasis after Billroth-Ⅱ gastroenterostomy. Methods ERCP was used in 74 patients with intrahepatic and bile duct lithiasis after Billroth-Ⅱ gastroenterostomy. Of the 74 patients, 4 received endoscopic sphincterotomy (EST), 2 endoscopic papillarty balloon dilatation (EPBD) and 20 cholangioduodenostomy. Results ERCP was successfully performed in 58 out of the 74 patients. There were no serious complications in patients receiving endoscopic and surgical treatments. Conclusions The successful rate of ERCP is high in patients with intrahepatic and bile duct lithiasis after Billroth Ⅱ gastroenterostomy. Endoscopic treatment or cholangioduodenostomy has good therapeutic effects.
出处
《中华肝胆外科杂志》
CAS
CSCD
2002年第10期592-594,共3页
Chinese Journal of Hepatobiliary Surgery
