CAJ | 학술논문

目的：探讨内镜下十二指肠乳头括约肌柱状气囊扩张术（endoscopic papillary balloon dilatation，EPBD）用于胆总管结石取石术中的疗效及安全性。方法：回顾分析应用 EPBD 治疗的76例胆总管结石患者的临床资料。结果：76例患者中73例成功取出胆总管结石，成功率96．1％，平均手术时间（30±12）min；无肠穿孔发生；术中发生活动性渗血5例，经局部喷洒去甲肾上腺液或黏膜下注射1∶10000肾上腺素液后成功止血；术后并发急性胰腺炎1例，高淀粉酶血症8例，均经保守治疗痊愈；平均住院时间（3±0．5）d。结论：采用 EPBD 行胆总管结石取石术具有安全、操作时间短、创伤小、恢复快、并发症少等优点。
목적：탐토내경하십이지장유두괄약기주상기낭확장술（endoscopic papillary balloon dilatation，EPBD）용우담총관결석취석술중적료효급안전성。방법：회고분석응용 EPBD 치료적76례담총관결석환자적림상자료。결과：76례환자중73례성공취출담총관결석，성공솔96．1％，평균수술시간（30±12）min；무장천공발생；술중발생활동성삼혈5례，경국부분쇄거갑신상선액혹점막하주사1∶10000신상선소액후성공지혈；술후병발급성이선염1례，고정분매혈증8례，균경보수치료전유；평균주원시간（3±0．5）d。결론：채용 EPBD 행담총관결석취석술구유안전、조작시간단、창상소、회복쾌、병발증소등우점。
Objective:To explore the efficacy and security of endoscopic papillary balloon dilatation(EPBD)in lithotomy of common bile duct stones.Methods:The clinical data of 76 patients with common bile duct stones who underwent EPBD were retrospectively analyzed.Results:The common bile duct stones were successfully removed in 73 of the 76 patients.The success rate was 96.1% while the mean operative time was (30±12)min.There was no intestinal perforation.Five cases suffered intra-operative active bleeding which was successfully stopped by topical spraying norepinephrine or submucosal injection of 1∶10000 epinephrine.One case was complicated by postoperative acute pancreatitis while eight cases had hyperamylasemia.All the cases above were cured by conservative treatment.The average length of hospital stay was (3±4.5)d.Conclusions:The application of EPBD is safe in lithotomy of common bile duct stones,which has the advantage of short operative time and small trauma, quick recovery and few complications.