CAJ | 학술논문

[目的]观察内镜下胆道塑料支架置入术治疗腹腔镜胆囊切除术（L C ）后胆管良性狭窄患者的疗效。[方法]回顾性分析22例LC后出现胆管良性狭窄患者，经内镜下胆道塑料支架置入术治疗的结果。[结果]22例中2例因狭窄情况严重支架置入术未能成功，转开腹治疗；其余20例在内镜下行胆道塑料支架置入术中共治疗25例次，其中3例更换2次支架，1例更换3次支架。术后出现并发症4例次。并发症发生率为16％，其中胰淀粉酶一过性增高3例次，轻症胰腺炎1例次，经对症保守治疗均痊愈，无严重并发症。患者术后6个月症状完全缓解。[结论]内镜下胆道塑料支架置入术是治疗LC后胆管良性狭窄的安全、有效、经济便捷的介入方法。
[목적]관찰내경하담도소료지가치입술치료복강경담낭절제술（L C ）후담관량성협착환자적료효。[방법]회고성분석22례LC후출현담관량성협착환자，경내경하담도소료지가치입술치료적결과。[결과]22례중2례인협착정황엄중지가치입술미능성공，전개복치료；기여20례재내경하행담도소료지가치입술중공치료25례차，기중3례경환2차지가，1례경환3차지가。술후출현병발증4례차。병발증발생솔위16％，기중이정분매일과성증고3례차，경증이선염1례차，경대증보수치료균전유，무엄중병발증。환자술후6개월증상완전완해。[결론]내경하담도소료지가치입술시치료LC후담관량성협착적안전、유효、경제편첩적개입방법。
Objective]To explore the endoscopic retrograde biliary drainage (ERBD)efficacy of the pa‐tients with benign bile duct stricture after laparoscopic cholecystectomy (LC)treatment.[Methods]We re‐strospective analyzed efficacy of ERBD treatment in 22 benign bile duct stricture patients cased by LC dur‐ing the past five years(Janary 2007‐May 2012).[Results]Two patients were treated with laparotomy due to severe stenosis.The remaining 20 patients accepted ERBD 25 times ,including 3 patients changed stents for two times ,1 patient changed stents for 3 times.Postoperative complications occurred in 4 cases.Symptoms complete remission was noted after six months.[Conclusion]ERBD is a safe ,effective ,economical and con‐venient intervention methods to treatment the benign bile duct stricture after LC.