CAJ | 학술논문

目的观察内镜逆行胰胆管造影(ERCP)和内镜十二指肠乳头括约肌切开术(EST)在腹腔镜胆囊切除术(LC)术前对胆囊、胆总管结石的治疗作用.方法回顾性分析2006年1月～2008年12月间上海交通大学医学院附属第三人民医院实施的43例(包括EST,ENBD和网篮取石术等)联合治疗的方法和经验.结果手术成功40例,成功率为93%.对胆总管结石内镜取石治疗成功率为95.2%,ERCP并发症2例(4.65%),高淀粉酶血症1例,乳头切开处出血1例,均经非手术治疗痊愈.结论 ERCP和EST的应用是当前LC手术前治疗胆囊结石合并胆总管结石的最佳手段,对提高LC的成功率和减少LC的并发症,降低胆总管结石开腹手术的比率,均具有重要的作用.
목적 관찰내경역행이담관조영(ERCP)화내경십이지장유두괄약기절개술(EST)재복강경담낭절제술(LC)술전대담낭、담총관결석적치료작용.방법 회고성분석2006년1월～2008년12월간상해교통대학의학원부속제삼인민의원실시적43례(포괄EST,ENBD화망람취석술등)연합치료적방법화경험.결과 수술성공40례,성공솔위93%.대담총관결석내경취석치료성공솔위95.2%,ERCP병발증2례(4.65%),고정분매혈증1례,유두절개처출혈1례,균경비수술치료전유.결론 ERCP화EST적응용시당전LC수술전치료담낭결석합병담총관결석적최가수단,대제고LC적성공솔화감소LC적병발증,강저담총관결석개복수술적비솔,균구유중요적작용.
Objective To summarize the curative effect of ERCP and EST before laparoseopic cholecystec-tomy for treatment of patients with cbolelithiasts concurrent with choledoeholithiasis. Methods A retrospec-tive analysis was carried out for 43 cases of cholelithiasis concurrent with choledocholithiasis from January 2006 to December 2008. Results The procedures were successfully accomplished in 40 patients, the suc-cess rate was 93%. The successful clearance rate of common bile duct stone was 95.2%. Complication oc-curred in 2 cases, including 1 case of papilla bleeding and 1 case of hyperamylesemia. All complications were cured with non-operating treatment. Conclusions ERCP and EST before laparoseopic cholecystectomy is the best treatment and diagnosis method in gallbladder stone with common bile dust stone. It is very impor-tant to improve the success rate of LC, decrease complication and occurrence of the open operation of com-mon bile duct stone.