摘要
目的探讨胆管内预留导丝法在有乳头、胆管解剖变异的治疗性ERCP中的应用。方法对乳头位置较偏、憩室内或憩室旁乳头、胆管有严重弯曲等解剖异常的患者造影成功后将导丝预留在胆管内,然后再进行治疗性操作。结果成功率明显提高(92.45%vs82.26%)、操作时间缩短[(40±15)minvs(55±20)min]、并发症发生率明显减少(5.66%vs19.35%),没有严重并发症发生。结论对有乳头、胆管解剖变异的患者行治疗性ERCP中应用胆管内预留导丝法效果肯定,临床上可以推广。
[Objective] To observe the effect of intraductal guide-wire reservation in therapeutic ERCP for cases with anatomic variation of duodenal papilla or bile duct. [Method] For these patients with papilla in abnormal position, in the diverticulum or in a place difficult to reach, or the patients with severely tortuous bile duct, the guide- wire was left in the bile duct after successful cholangiography for therapeutic operation. [Results] Successful rate was significantly increased （92.45% vs 82.26%）, and operation time was really shortened [（40±15） minutes vs （55± 20） minutes] with fewer complications （5.66% vs 19.35%） and no severe complication appeared. [Conclusion] For these patients with anatomic variation of duodenal papilla or bile duct, intraductal guide-wire reservation during ERCP has significant effect, and can be widely used in clinical trials.
出处
《中国内镜杂志》
CSCD
北大核心
2009年第4期341-343,共3页
China Journal of Endoscopy
关键词
导丝
内镜
内镜逆行胰胆管造影术
guide-wire
endoscopic
endoscopic retrograde cholangiopancreatography （ERCP）
