外科理论与实践 ›› 2022, Vol. 27 ›› Issue (02): 165-168.doi: 10.16139/j.1007-9610.2022.02.015
收稿日期:
2022-03-25
出版日期:
2022-05-25
发布日期:
2022-06-16
通讯作者:
张筱凤
E-mail:zxf837@tom.com
基金资助:
SHI Jiali1, CHENG Sile2, JIN Hangbin2, ZHANG Xiaofeng2()
Received:
2022-03-25
Online:
2022-05-25
Published:
2022-06-16
Contact:
ZHANG Xiaofeng
E-mail:zxf837@tom.com
摘要:
目的: 探讨内镜逆行胰胆管造影术(endoscopic retrograde cholangiopancreatography, ERCP)联合SpyGlass DS直视液电碎石治疗困难胆总管结石的有效性及安全性。方法: 纳入2020年1月—2022年2月在杭州市第一人民医院行SpyGlass DS直视下液电碎石治疗的35例困难胆总管结石病人临床资料,分析碎石成功率、取石成功率、一次取石成功率以及术后并发症发生率、术后住院时间和ERCP操作时间。结果: 34例(97.1%)SpyGlass DS直视液电碎石成功。1例液电碎石不完全,改为体外震波碎石。ERCP操作时间(77±13.1) min。所有病人最终均取石成功。29例(82.9%)一次取石成功。2例(5.7%)分别出现术后急性胆管炎、急性胰腺炎并发症。术后住院时间(6.3±3.7) d。结论: ERCP联合SpyGlass DS直视液电碎石治疗困难胆总管结石安全可行。
中图分类号:
石加利, 程思乐, 金杭斌, 张筱凤. ERCP联合SpyGlass DS直视下液电碎石治疗困难胆总管结石[J]. 外科理论与实践, 2022, 27(02): 165-168.
SHI Jiali, CHENG Sile, JIN Hangbin, ZHANG Xiaofeng. ERCP combined with SpyGlass DS direct visualization electrohydraulic lithotripsy in treatment of difficult bile duct stones[J]. Journal of Surgery Concepts & Practice, 2022, 27(02): 165-168.
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