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[内镜下经乳头介入治疗在胰胆区域疾病患者诊断与治疗中的应用]

[Endoscopic transpapillary interventions in diagnostics and treatment of patients with diseases of the pancreatobiliary area].

作者信息

Gabriél' S A, Durleshter V M, Dyn'ko V Iu, Gol'fand V V

机构信息

Kraevaia klinicheskaia bol'nitsa #2, Krasnodar.

出版信息

Khirurgiia (Mosk). 2015(1):30-34. doi: 10.17116/hirurgia22015130-34.

Abstract

It was performed analysis of efficiency of endoscopic retrograde transpapillary interventions in diagnostics and treatment of 1513 patients with diseases of the pancreatobiliary area for the period 2008--2012. About half of patients had choledocholithiasis. There were tumors in 9.5% of patients. Associated diseases confirmed or first identified during transpapillary intervention (stricture + choledocholithiasis, cancer + choledocholithiasis, etc.) were revealed in 6.8% of patients. We used almost all types of endoscopic transpapillary techniques which are applies for biliary hypertension including retrograde cholangiopancreatography, endoscopic papillotomy, endoscopic mechanical lithoextraction and lithotripsy, nasobiliary drainage, bougienage, balloon dilatation, stenting and endoscopic contact electrohydraulic lithotripsy of calculus of common bile duct. Efficiency of endoscopic transpapillary interventions was 96.5%. Complications were observed in 4.3% of patients. Mortality rate was 0.06%.

摘要

对2008年至2012年期间1513例胰胆区域疾病患者进行了内镜逆行经乳头干预在诊断和治疗中的效率分析。约一半患者患有胆总管结石。9.5%的患者患有肿瘤。在6.8%的患者中发现了在经乳头干预期间确诊或首次发现的相关疾病(狭窄+胆总管结石、癌症+胆总管结石等)。我们几乎使用了所有适用于胆道高压的内镜经乳头技术,包括逆行胰胆管造影、内镜乳头切开术、内镜机械碎石取石术和碎石术、鼻胆管引流、探条扩张术、球囊扩张术、支架置入术以及内镜接触式电液压胆总管结石碎石术。内镜经乳头干预的效率为96.5%。4.3%的患者出现并发症。死亡率为0.06%。

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