5 经胆道镜Oddi括约肌气囊扩张治疗胆石症临床分析
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白玉秋

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Clincal analysis of choledochoscopic balloon dilatation of Oddi sphincter in treatment of cholelithiasis
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    摘要:

    目的:探讨经胆道镜行Oddi括约肌气囊扩张术临床应用价值。
    方法:对2005年7月—2007年5月经胆道镜行Oddi括约肌气囊扩张术的67例患者的临床资料进行回顾性分析,并与同期行十二指肠镜Oddi括约肌切开(EST)患者进行对比。
    结果:气囊组与EST组近期并发症的发生率无显著性差异(P>0.05)。其总疗效虽无显著差异(P>0.05),但胆道反流性感染及残余结石的发生率气囊组低于EST组(P<0.05)。
    结论:胆道镜Oddi括约肌气囊扩张术在治疗胆囊结石合并胆管结石安全、可行、效果更好,值得推广应用。

    Abstract:

    Abstract:Objective:To evaluate the value of clinical application of the technique of choledochoscopic balloon dilatation of Oddi sphincter.
    Methods :The clinical data of 67cases who underwent cholecloscopic ballon dilatation of Oddi sphinctor between Jul 2005 and Apr 2007 was analysed, and compared with those patients who had endoscopic sphincterotomy(EST) during the same period.
    Results:There was no difference between balloon dilatation group and EST group in rate of short-term complications and therapentic results (P<0.05), but the rate of reflux biliary tract infection and retained stones was lower in the balloon dilatation group compared to that of EST group(P<0.05).
    Conclusions:Choledoscopic dilatation of Oddi sphincter is a safe, feasible and more effective way to treat patients with gallbladder calculi complicated with bile duct calculi, and this method is worthy of widespread use.

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白玉秋, 谭富阳, 林回春, 田卓.5 经胆道镜Oddi括约肌气囊扩张治疗胆石症临床分析[J].中国普通外科杂志,2007,16(7):5-.
DOI:10.7659/j. issn.1005-6947.2007.07.005

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  • 在线发布日期: 2007-07-25