内镜下乳头气囊扩张术治疗胆囊切除术后胆总管结石.PDF

坐蛳胆盟±±丛：茎；业!生!旦塑9鲞整!塑!!坐．I旦!Pil曲tl·a型墅理．』!!!!业，∑些9．N—o．—7 ·一113· ·沦著· 内镜下乳头气囊扩张术治疗 胆囊切除术后胆总管结石 李虎城萧荫祺许红兵李为民黄辉 【摘要】目的探讨经内镜乳共气囊扩张术(EPBD)治疗胆囊切除术后胆总臂结右的安全件和 疗效。方法对胆囊切除术后出现黄疽或胆管炎的3l例病人，利用EPBD结台取开篮、取亓球囊或 总攻方法，使梗阻于胆总管卜段的结石排入肠道。结果31例病人全部顺利实施EPBD，j∈排除结石 37颗．1例{r 2次扩张术，术后病人均痔愈出院，复查R趟无结石残存或胆管扩张。结论经内镜治 疗胆囊切除术后胆总管结石，安全、无创、有效．有望成为治疗LC术后胆总管结石的首选方法。 【关键词】胭总管结石； 内镜检查； 腹腔镜术； 胆崔切除术； 乳头气囊扩张术 dilatationin ofconlllmnbileductstoneafter Endoscopic management papillar，balloon eholecystectomy f。，Hucheng，XIAOYinqi，XUHongbin月，et“，Departmento．fHepatobiliurySurgery，309Hos rPLA，Bef100091，尸．R．(孺ina pita￡o 7ing 7Ioeva[uatethe and of balloon efficacysafetyendoscopic dilata— 【Ab曲Ⅷct】Objective papillary tion(EPBD)inofcon_1lllonbileduct8toneafter Atotalof3l management cholecystectomy．Methyls with after wereadmittedto commonbileductstone our forEPBDto patients cholecystectomy hospital renlovetim basketorballoon catheterorChinese stones stones．Using tripped medicine，theblocking lntheendsectionofthecommonbileductweredrivenouttOtheIntestines．ResulIsAllthe patients receivedEPBD numberofexcretedstoneswere37．Four andthe patientsunderwentEPBDtwice．A11 the werecuredand fromthe showedthatthereway,no patients dischargedhospital．Uhrasonography residuaIcalculusanddilatationofthebileduct．ConclusionsEPBDisasafe，non-invasiveandeffec． tivemeansfortreatmentofcoln．／noltbileductstoneafter andcanbeoffirstchoicefor cholecystectomy thetreatment