摘要
目的探讨1.0cm直径乳头气囊扩张管行气囊扩张术在治疗十二指肠乳头旁憩室合并胆总管结石中的作用。方法采用Olympus公司TJF230/240十二指肠镜、Cook公司1.0cm直径乳头气囊扩张管配合碎石器、取石篮、鼻胆管等对31例十二指肠乳头旁憩室合并胆总管结石的患者进行治疗。结果31例行10cm直径乳头气囊扩张管行乳头气囊扩张术(EPBD),辅以取石、留置鼻胆管治疗,取尽结石,术后无严重并发症,术后生化指标较术前明显下降,随访2年28例治愈无复发。结论1.0cm直径乳头气囊扩张管是治疗十二指肠乳头旁憩室合并胆总管结石的一种操作简单、安全有效的治疗方法。
[Objective] To investigate the curative methods and value of endoscopic papillary balloon dilatation （EPBD） for periampullary diverticula combined with commom bile stones. [Methods] 31 patients were treated with EPBD and blasket-extracting the bile stones. [Result] The stones were removed successfully by EPBD in 31 patients. No complications including perforation, hemorrhage of death were occurred during or after treatment, but symptoms improved apparently. Pancreatitis occurred in 1 case. 3 patients had recurrence after the follow-up of mean 2.1 years. [Conclusion] EPBD is an effective and safe endoscopic therapy for periampullary diverticula combined with commom bile stones and should be approached extensively.
出处
《中国内镜杂志》
CSCD
北大核心
2008年第5期502-504,共3页
China Journal of Endoscopy
关键词
十二指肠乳头旁憩室
胆总管结石
内镜下乳头气囊扩张术
periampullary diverticula
commom bile stones
endoscopic papillary balloon dilatation （EPBD）
