PDF下载 ( 157 KB)
Application of precutsphincterotomy for endoscopic retrograde cholangiopancreatography with difficult biliary cannulation
-
摘要: <正>随着微创外科的发展,经内镜逆行胰胆管造影(ERCP)已经成为胆胰疾病诊断和治疗的常规手段。选择性乳头插管是ERCP诊治的基础,但由于解剖变异、结石嵌顿、乳头狭窄、肿瘤侵袭等诸多原因,导致一些患者行ERCP时常规插管失败。内镜下十二指肠乳头括约肌预切开术(precutsphincterotomy,PST)是一种特殊技巧的乳头切开术,是常规插管方法失败后常用的方法,可大大提高内镜插管的成功率。4年来作者在
-
关键词:
- 括约肌切开术,内窥镜 /
- 胰胆管造影术,内窥镜逆行 /
- 胆管插管困难
-
[1]SHAO LM, CHEN QY, CHEN MY, et al.Nitroglycerin in the prevention of post-ERCP pancreatitis:a meta-analysis[J].Dig Dis Sci, 2010, 55 (1) :1-7. [2]LI CJ, CUI Y, HUANG YS, et al.The efficacy and safety of precut technique in difficult biliary cannulation[J].Dig Dis Endosc, 2008, 2 (3) :19-23. (in Chinese) 李初俊, 崔毅, 黄颖思, 等.Precut技术在ERCP插管困难病例中的作用及安全性研究[J].中国消化内镜, 2008, 2 (3) :19-23. [3] ERCP Section of Chinese Cociety of Digestive Endoscopy.Guidelines for the diagnostic and therapeutic ERCP[J].Chin J Dig Endosc, 2010, 27 (3) :113-118. (in Chinese) 中华医学会消化内镜分会ERCP学组.ERCP诊治指南 (2010版) [J].中华消化内镜杂志, 2010, 27 (3) :113-118. [4]WANG J, ZHANG XW, WANG HL.Management of stone impacted at distal common bile duct[J].Chin J Pract Surg, 2010, 30 (5) :334-336. (in Chinese) 王坚, 张唏文, 王昊陆.胆总管末端嵌顿性结石治疗策略[J].中国实用外科杂志, 2010, 30 (5) :334-336. [5]QIN MF.Roles of ERCP in the treatment of disorders at pancreaticobiliary junction[J].Chin J Pract Surg, 2010, 30 (5) :337-339. (in Chinese) 秦鸣放.ERCP在胆胰结合部疾病中的应用[J].中国实用外科杂志, 2010, 30 (5) :337-339. [6]BARNABAS A, BAILEY AA, COLLIER J, et al.Precutsphincterotomy for biliary cannulation:if you fail, giver it another try[J].Gut, 2011, 60:a125. -
本文二维码
计量
- 文章访问数: 151
- HTML全文浏览量: 6
- PDF下载量: 74
- 被引次数: 0
下载:
