胃BillrothⅡ式术后胆管结石内镜治疗的研究
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徐荣华Email:xiu7166@126.com

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R 657.4

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四川省卫生厅基金资助项目(070366)。


Endoscopic treatment of bile duct lithiasis after BillrothⅡ gastrectomy
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    摘要:

    目的:探讨对胃毕Ⅱ式术后胆管结石者行ERCP检查及治疗的方法。
    方法:在137例胃毕Ⅱ式术后患者进行ERCP检查的同时对34例行内镜乳头括约肌切开(EST)及4例经内镜乳头气囊扩张术(EPBD)取石。
    结果:137例ERCP中成功109(79.6%)例,失败28(20.4%)例。34例EST和4例EPBD后取石治疗,成功35(92.1%)例。并发消化道大出血4例。全组诊疗中无消化道穿孔及死亡病例。
    结论:对胃毕Ⅱ式术后胆管结石者可成功实施ERCP检查及EST治疗,有临床实用价值。

    Abstract:

    Objective: To evaluate the value of endoscopic  treatment of bile duct lithiasis after BillrothⅡ gastrectomy.
     Methods: ERCP was used in 137 patients with bile duct lithiasis after BillrothⅡ gastrectomy. Of the 137 patients, 34 received EST and 4 EPBD.
     Results: ERCP was successfully performed in 109  of the 137 cases (79.6%), and falled in 28 (20.4%). Among 34 patients who had EST and 4 patients who had EPBD, stone extrection was successful in 35 cases (92.1%), and complicated by GI bleeding in 4 cases. There were no cases of GI perforation or death.
     Conclusions: The successful rate of EST is high in patients with bile duct lithiasis after BillrothⅡ gastrectomy, and endoscopic treatment has good therapeutic effects.

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张光全|王勇强|郑强|杨勇|徐荣华|宋念|廖忠|陈红|吴先麟|何芳|蒲成容.胃BillrothⅡ式术后胆管结石内镜治疗的研究[J].中国普通外科杂志,2010,19(2):113-116.

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  • 收稿日期:2009-07-27
  • 最后修改日期:2010-01-05
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  • 在线发布日期: 2010-02-15
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