经内镜乳头括约肌切开术与气囊扩张术治疗胆总管结石临床评价
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李春明, 刘中宏, 姜国玲, 张兆文
内镜乳头括约肌切开术;气囊扩张术;胆总管结石;并发症李春明,刘中宏,姜国玲,张兆文.经内镜乳头括约肌切开术与气囊扩张术治疗胆总管结石临床评价. 世界华人消化杂志2006;14(2)230-
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李春明, 刘中宏, 姜国玲,张兆文, 哈尔滨市第一医院消化内科黑龙省哈尔滨市 150010
哈尔滨市科技局科技攻关项目,No. 2004AA9CS196-17
通讯作者: 李春明, 150010, 黑龙省哈尔滨市道理区地段街151号,哈尔滨市第一医院消化内科
电话: 0451-84883115
收稿日期: 2005-11-23 接受日期: 2005-12-08
Clinical evaluation of endoscopic sphincterotomy andpapillary balloon dilation for removal of common bile duct stones
Chun-Ming Li, Zhong-Hong Liu, Guo-Ling Jiang,Zhao-WenZhang
Chun-Ming Li, Zhong-Hong Liu,Guo-Ling Jiang, Zhao-Wen Zhang, Department of Gastroenterology, theFirst Hospital of Harbin, Harbin l50010, Heilongjiang Province, China
Supported by the Key Programs of Science and Technology Commissionof Harbin, No. 2004AA9CS196-17
Correspondence to: Chun-Ming Li, Department of Gastroenterology,the First Hospital of Harbin, Harbin l50010, Heilongjiang Province, China.
Received: 2005-11-23 Accepted: 2005-12-08
Abstract
AIM: To evaluate the clinicaleffect of endoscopic sphincterotomy (EST) and endoscopic papillary balloondilatation (EPBD) associated with mechanical lithotripsy (EML) in thetreatment of common bile duct stones.
METHODS: Sixtypatients with common bile duct stones were enrolled and randomized to EST(n = 30) and EPBD (n = 30) group. EST or EPBD associatedwith mechanical lithotripsy were performed in the corresponding group. Thesuccess rates for duct clearance as well as the frequency of short-termand long-term complications were evaluated.
RESULTS: Ductclearance was achieved in 93.3% patients of EST group and 90% of EPBDgroup, and there was no significant difference between them (P >0.05). Short-term complications, including acute pancreatitis, cholangitisand hemorrhage, appeared in 30% and 13.3% patients of EST and EPBD group,respectively, and there was no significant difference between them, either(P > 0.05). However, the rates of long-term complications suchas cholangitis and recurrent choledocholithiasis were 26 ......
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