摘要
目的探讨十二指肠乳头旁憩室(JPD)对逆行性胰胆管造影术(ERCP)插管成功率的影响及其对内镜乳头括约肌切开术(EST)胆总管取石成功率和并发症的影响。方法回顾性选择282例ERCP患者,对其临床资料进行统计分析,比较合并憩室患者与未合并憩室患者ERCP插管成功率、EST胆总管取石成功率以及发生并发症的差异。结果有憩室组患者ERCP插管成功率与无憩室组比较,差异无显著性(P>0.05)。胆总管结石合并憩室组取石成功率明显高于胆总管结石未合并憩室组,差异有显著性(P<0.05)。胆总管结石合并憩室组并发症的发生与胆总管结石未合并憩室组比较,EST创口出血者增多,两者比较差异有显著性(P<0.05);两组间其它并发症比较差异无显著性(P>0.05)。结论十二指肠乳头旁憩室合并胆管结石经内镜下取石仍是一种安全、有效的治疗手段。
Objective To investigate the influence of duodenal diverticulum juxtapapillary （JPD） on the success rate of endoscopic retrograde cholangiopancreatography（ERCP） and the effect on the success rate of stone removal surgery by endoscopic sphineterotomy （EST）. Method 282 ERCP cases have been retrospectively reviewed, and the clinical data have been statistically analyzed. The differences on the success rate of ERCP, the success rate of the stone removal surger- y, and the complications caused by EST surgery between patient groups with and without JPD have been compared. Results Comparison of the success rate of ERCP between patient groups with and without JPD indicates that there is no obvious statistical difference（ P 〉 0. 05 ）. The success rate of the stone removal surgery of choledocholithiasis patient group with JPD is higher than those without JPD, and the difference is significant （ P 〈 0.05 ）. When comparing the complications caused by EST surgery between choledocholithiasis patients combined and not combined with JPD, we notice that the incidence of wound bleeding of the former group is higher than that of the latter group, and the difference is significant （ P 〈 0. 05 ）. Meanwhile, other complications do not show obvious difference （ P 〉 0.05 ）. Conclusion EST is a safe and effective therapy for choledocholithiasis patients combined with JPD.
出处
《中南医学科学杂志》
CAS
2012年第4期394-396,共3页
Medical Science Journal of Central South China
