Askew A R, Ward M, Cowen A E
Aust N Z J Surg. 1984 Oct;54(5):457-9. doi: 10.1111/j.1445-2197.1984.tb05422.x.
A series of 74 patients having endoscopic sphincterotomy for common bile duct calculi is reported. Complete stone extraction was achieved in 53 cases (72%). Seventeen of 21 patients with retained calculi following recent biliary surgery had successful extractions (80%). Of 30 patients having had a cholecystectomy, 21 (70%) were successful, but only 15 of 23 patients with obstructive jaundice and no previous biliary surgery had the ducts cleared of calculi. Failure was due to multiple stones in the duct, or calculi too large to pass through the sphincterotomy. Endoscopic sphincterotomy is advocated in patients with obstructive jaundice due to stones, moving to early surgery should it prove unsuccessful. The results in patients with a T-tube in situ are comparable to extraction of the calculi along the T-tube tract.
报告了74例因胆总管结石接受内镜括约肌切开术的患者。53例（72%）实现了结石完全取出。近期胆道手术后残留结石的21例患者中，17例（80%）成功取出结石。30例接受过胆囊切除术的患者中，21例（70%）成功，而23例有梗阻性黄疸且既往无胆道手术史的患者中，只有15例结石从胆管清除。失败原因是胆管内结石多发或结石太大无法通过括约肌切开处。对于因结石导致梗阻性黄疸的患者，提倡行内镜括约肌切开术，若手术失败则应尽早手术。留置T管患者的结果与沿T管通道取出结石的结果相当。
