天津医药

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胆道支架治疗胆总管巨大结石

迟海本   

  1. 天津市第四医院
  • 收稿日期:2013-12-26 修回日期:2014-03-27 出版日期:2014-09-15 发布日期:2014-09-15
  • 通讯作者: 迟海本

Biliary Stenting in the Treatment of Large Common Bile Duct Stones

CHI Haiben   

  1. Department of General Surgery, Tianjin Fourth Hospital, Tianjin 300200, China
  • Received:2013-12-26 Revised:2014-03-27 Published:2014-09-15 Online:2014-09-15
  • Contact: CHI Haiben

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摘要： 摘要：目的 探讨胆道支架在治疗胆总管巨大结石中的作用和价值。方法 对32例胆总管巨大结石患者，在oddi括约肌切开术内镜取石失败后行塑料胆道支架置入术治疗，术后随访6个月。结果 32例患者均顺利置入胆道支架，术后黄疸、腹痛等症状均得到缓解，术后六个月行二次ERCP，32例胆总管巨大结石3例结石消失，25例均有不同程度缩小，4例未见明显缩小；残余结石再次取石，均成功取石，有4例仍取石困难，继续放置胆道支架引流观察。胆道支架治疗胆总管巨大结石成功率87.5%。结论 胆道支架治疗胆总管巨大结石具有操作简便、操作时间短，并发症少、疗效满意、安全有效等优点。

关键词: 胆总管结石, 支架, 塑料, 胰胆管造影术, 内窥镜逆行

Abstract: Abstract: Objective To investigate the role and value of the biliary stent in the treatment of common bile duct huge stones. Methods 32 cases of common bile duct huge stones with oddi sphincterotomy underwent endoscopic stone extraction fails plastic biliary stenting, were followed up for 6 months. Results 32 patients were successfully placed biliary stents, postoperative jaundice, abdominal pain and other symptoms have been alleviated, six months after surgery underwent secondary ERCP, 32 cases of biliary stones in three cases of huge stones disappeared, 25 cases were reduced to varying degrees , 4 cases no obvious narrowing; Again will remove the residual stones, stone were successful, there are four cases still stone difficulties and continue to observe the drainage of biliary stent placement. The success rate of treatment of common bile duct huge stones by biliary stent is 87.5%. Conclusions The therapy of huge common bile duct stones by biliary stent is a simple, short operation time, fewer complications, results were satisfactory, safe and effective advantages.

Key words: choledocholithiasis, Ranpamycin, plastics, cholangiopancreatography, endoscopic retrograde