内镜胆道支架置入术治疗胆总管结石的前瞻性研究。
A prospective study of the efficacy of endoscopic biliary stenting on common bile duct stones.
机构信息
Department of General Surgery, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
出版信息
J Dig Dis. 2009 Nov;10(4):328-31. doi: 10.1111/j.1751-2980.2009.00404.x.
OBJECTIVE
To investigate the efficacy of endoscopic biliary stenting on common bile duct stones.
METHODS
Fifty patients with choledocholithiasis were treated with endoscopic biliary stenting and followed. The early and late outcome was assessed.
RESULTS
The procedure was successful in all patients and there was only one patient with mild pancreatitis. The patency rates of stent at 6 months, 12 months and 24 months after biliary stenting were 94%, 79% and 58%, respectively. The rate of reduction in size of stone was 60%.
CONCLUSION
Endoscopic biliary stenting was not a definitive treatment of choledocholithiasis. It may be an option for patients clinically unfit for definitive treatment.
目的
探讨内镜下胆管支架置入术治疗胆总管结石的疗效。
方法
50 例胆总管结石患者接受内镜下胆管支架置入术治疗并进行随访，评估其早期和晚期结果。
结果
所有患者均手术成功，仅 1 例发生轻度胰腺炎。胆管支架置入后 6 个月、12 个月和 24 个月的通畅率分别为 94%、79%和 58%，结石缩小率为 60%。
结论
内镜下胆管支架置入术不是胆总管结石的根治性治疗方法，对于临床不适合根治性治疗的患者，可能是一种选择。
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