目的：探讨内镜逆行胰胆管造影（endoscopic retrograde cholangiopancreatography,ERCP）联合SpyGlass DS 胆道镜治疗胆囊颈结石和急性胆囊炎的安全性及可行性。方法：回顾性分析2017年9月至2020年5月我院消化内科采用ERCP联合SpyGlass DS 胆道镜治疗11例胆囊颈结石和急性胆囊炎病人的临床资料。结果：6例胆总管结石合并胆囊颈结石、急性胆囊炎,4例胆总管结石、胆囊颈结石合并化脓性胆囊炎,1例Mirrizi综合征继发化脓性胆囊炎。11例均内镜取石成功,胆囊颈结石均全部取出。ERCP操作时间（30.0±19.9）（24~71） min, SpyGlass DS检查时间（13.0±6.4）（5~25） min,术后恢复进食时间（2.8±1.0）（2~5） d,术后住院时间（6.3±1.6）（5~10） d。术后症状较轻,并发症较少。结论：对于胆总管结石合并胆囊颈结石和急性胆囊炎的病人,采用ERCP联合SpyGlass DS 胆道镜治疗相对安全、可行,有一定实用性。

Objective To investigate the safety and feasibility of endoscopic retrograde cholangiopancreatography (ERCP) combined with SpyGlass digital system (DS) choledochoscope in the treatment of gallbladder neck stones and acute cholecystitis. Methods The clinical data of 11 patients with gallbladder neck stone and acute cholecystitis were retrospectively analyzed for the treatment using ERCP combined with SpyGlass DS choledochoscope in the Department of Gastroenterology our hospital from September 2017 to May 2020. Results There were 11 patients including 6 cases with gallbladder neck stones and acute cholecystitis, 4 cases with choledocholithiasis and gallbladder neck stones and suppurative cholecystitis, and 1 case with Mirrizi syndrome and suppurative cholecystitis. All the removal of gallbladder neck stones for 11 cases was successful by endoscopy. ERCP time was (30.0±19.9) (24-71) min with SpyGlass DS time (13.0±6.4) (5-25) min, postoperative feeding time (2.8±1.0) (2-5) d and hospital stay (6.3±1.6) (5-10) d. Postoperative symptoms and complication were mild. Conclusions ERCP combined with SpyGlass DS choledochoscope in treatment of gallbladder neck stone and acute cholecystitis would be safe and feasible.