Marin A, Constantinescu G
Sectia Chirurgie, Spitalul Militar de Urgenţă Prof. Dr. Agrippa Ionescu", Bucureşti.
Chirurgia (Bucur). 2004 Jan-Feb;99(1):79-85.
The aim of this study was to present peroral cholangioscopic method, their technique, indications, contraindications, the advantages and disadvantages of this method. Peroral cholangioscopy is associated with ERCP and was developed in the last two decades by development of "mother & baby" endoscopic system. In same mode with percutaneous cholangioscopy or laparoscopic cholangioscopy, peroral cholangioscopy have an important role in diagnosis and therapy of common bile duct diseases. In 2001-2002 the authors have perform six peroral cholangioscopy for diagnosis and therapy (nonspecific radiological findings on ERCP) and in five cases, they have found choledochal lithiasis which was resolved by this way. In one case has not found any pathology. By their efficiency with a low rate of specific complications, peroral cholangioscopy is now an appropriate method in diagnosis and therapy of common bile duct disease.
本研究的目的是介绍经口胆管镜检查方法、其技术、适应证、禁忌证以及该方法的优缺点。经口胆管镜检查与内镜逆行胰胆管造影(ERCP)相关,是在过去二十年中随着“子母”内镜系统的发展而开发的。与经皮胆管镜检查或腹腔镜胆管镜检查类似,经口胆管镜检查在胆总管疾病的诊断和治疗中具有重要作用。2001年至2002年,作者进行了6例经口胆管镜检查用于诊断和治疗(ERCP检查有非特异性影像学表现),其中5例发现胆总管结石并通过该方法得到解决。1例未发现任何病变。经口胆管镜检查因其有效性和特异性并发症发生率低,现已成为胆总管疾病诊断和治疗的一种合适方法。