CAJ | 학술논문

目的探讨内镜下十二指肠乳头括约肌切开术(EST)和网篮取石对胆囊切除术后胆总管结石患者的治疗价值及安全性.方法回顾性分析158例胆囊切除术术后胆总管结石患者进行EST切开取石和鼻胆管引流治疗的临床资料.结果 158例患者153例获成功,5例手术失败,入院时症状如黄疸、发热、上腹胀痛不适等均明显改善.术后并发症,一过性高淀粉酶血症85例,活动性出血2例,ERCP术后急性胰腺炎16例,胆管炎5例,无一例胆漏及死亡患者.结论 EST治疗胆囊切除术后患者胆总管结石是一种疗效确切、安全系数较高的微创治疗方法.
목적 탐토내경하십이지장유두괄약기절개술(EST)화망람취석대담낭절제술후담총관결석환자적치료개치급안전성.방법 회고성분석158례담낭절제술술후담총관결석환자진행EST절개취석화비담관인류치료적림상자료.결과 158례환자153례획성공,5례수술실패,입원시증상여황달、발열、상복창통불괄등균명현개선.술후병발증,일과성고정분매혈증85례,활동성출혈2례,ERCP술후급성이선염16례,담관염5례,무일례담루급사망환자.결론 EST치료담낭절제술후환자담총관결석시일충료효학절、안전계수교고적미창치료방법.
Objective To evaluate the safety and therapeutic value of endoscopic sphincterotomy by endoscope to the patients with common duct stones after their gallbladders resected. Methods 158 patients with common duct stones after their gallbladders resected were given the treatments of endoscopic sphincterotomy and nasobiliary drainage in recent 4 years. Results 153 of 158 patients got succeed. The symptoms obviously improved such as jaundice and fever and epigastric distention and so on. As for the postoperative complications, the hyperamylasemia occurred in 85 patients of all patients,and active hemorrhage in 2 patients,and acute pancreatitis in 16 patients,and cholangitis in 5 patients,but no one occurred biliary fistula,no one died,too. Conclusion EST is the best way for us to treat the patients with common duct stones after their gallhladders resected by endoscope,and its curative effect is sure and its safety coefficient is higher.