经内镜逆行胰胆管造影术困难取石中胆道支架内引流术的应用效果
Clinical Education of General Practice(2017)
Abstract
胆总管结石是普外科较为常见的一种胆道系统疾病,临床表现复杂多样.胆总管巨大结石、胆道狭窄结石以及填充型结石都是临床上较为复杂且操作相当困难的胆总管结石类型[1].经内镜逆行胰胆管造影术(endoscopic retrograde cholangio-pancreatography,ERCP)已成为治疗胆总管结石的首选方法.嘉兴市第一人民医院在2013~2016年共行ERCP 1 028例,其中取石困难的患者42例,术中即予行胆道支架内引流术(endoscopic retrograde biliary drainage,ERBD)或同时行鼻胆管引流术,3~6个月后再次行ERCP及网篮取石术,取得良好效果.现报道如下.
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