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内镜括约肌切开术后穿孔的手术治疗:尽早、延迟还是根本不进行手术?

Surgery in perforation after endoscopic sphincterotomy: sooner, later or not at all?

作者信息

Chaudhary A, Aranya R C

机构信息

G B Pant Hospital, New Delhi, India.

出版信息

Ann R Coll Surg Engl. 1996 May;78(3 ( Pt 1)):206-8.

PMID:8779506
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2502736/
Abstract

During a period of 8 years we managed ten patients with perforations resulting from endoscopic sphincterotomy. Four patients underwent operation within 24 h of the perforation, while six underwent operation later than 24 h. All the deaths and complications occurred in the latter group. Our experience underscores the importance of early diagnosis of perforation after endoscopic sphincterotomy and supports an aggressive surgical approach.

摘要

在8年的时间里,我们治疗了10例因内镜括约肌切开术导致穿孔的患者。4例患者在穿孔后24小时内接受了手术,而6例患者在穿孔24小时后才接受手术。所有的死亡和并发症都发生在后者这一组。我们的经验强调了内镜括约肌切开术后穿孔早期诊断的重要性,并支持积极的手术方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692e/2502736/5d0a92e505fd/annrcse01601-0055-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692e/2502736/5d0a92e505fd/annrcse01601-0055-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692e/2502736/5d0a92e505fd/annrcse01601-0055-a.jpg

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Surgery in perforation after endoscopic sphincterotomy: sooner, later or not at all?内镜括约肌切开术后穿孔的手术治疗:尽早、延迟还是根本不进行手术?
Ann R Coll Surg Engl. 1996 May;78(3 ( Pt 1)):206-8.
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本文引用的文献

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The successful surgical management of perforation after endoscopic sphincterotomy: report of two cases.内镜括约肌切开术后穿孔的成功外科治疗:两例报告
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