CAJ | 학술논문

目的探讨Precut技术对高龄乳头嵌顿性胆结石患者的治疗效果及安全性的研究.方法总结回顾分析2007年1月至2009年12月38例高龄患者ERCP术后确诊乳头嵌顿性胆总管结石的患者,对经内镜逆行胰胆管造影术(ERCP)治疗中插管困难者运用Precut技术辅助插管及取石,行乳头括约肌切开后,结石常能自行脱出.结果 38例高龄ERCP插管困难患者,行Precut技术取石成功率100%,无死亡病例,其中弓形刀切开8例,针状刀切开10例,两刀联合切开20例.结论治疗性ERCP是乳头嵌顿性胆结石患者一种安全有效的治疗手段,尤其对高龄无法耐受外科手术的患者,这类患者常伴插管及取石困难,Precut技术无疑是取石成功的关键.
목적 탐토Precut기술대고령유두감돈성담결석환자적치료효과급안전성적연구.방법 총결회고분석2007년1월지2009년12월38례고령환자ERCP술후학진유두감돈성담총관결석적환자,대경내경역행이담관조영술(ERCP)치료중삽관곤난자운용Precut기술보조삽관급취석,행유두괄약기절개후,결석상능자행탈출.결과 38례고령ERCP삽관곤난환자,행Precut기술취석성공솔100%,무사망병례,기중궁형도절개8례,침상도절개10례,량도연합절개20례.결론 치료성ERCP시유두감돈성담결석환자일충안전유효적치료수단,우기대고령무법내수외과수술적환자,저류환자상반삽관급취석곤난,Precut기술무의시취석성공적관건.
Objective To evaluate the efficacy and safety of the Precut technique in elderly patients of incarcerated biliary calculi in papilla.Methods Retrospectived the study of the 38 elderly patients who finally diagnosed as incarcerated biliany calculi by the endoscopic retrograde cholangio pancreatography(ERCP)from January 2007 to December 2009.All patients with difficult CBD cannulation anderwent Precutting technique.In most of patients the incarcerated biliary calculi in papilla could usually fell away automatically after EST.Results The 38 Elderly patients with difficult CBD cannulation underwent Precutting technique.The success rate of endoscopic stone extraction was 100%,and the mortality and morbidity were zero.Eight cases were performed with arciform knife,10 cases were with needle knife,and 20 cases with both arciform and needle knife.Conclusion Precut is an effective and safe technique for patients in difficult biliary cannulation with incarcerated biliary calculi in papilla.Precut technique is the most important skill for endoscopic stone extraction.