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Application of precut sphinctero-tomy in the diagnostic and therapeutic ERCP-a report of 73 cases
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- Author:
- No author available
- Journal Title:
- WORLD CHINESE JOURNAL OF DIGESTOLOGY
- Issue:
- 12
- DOI:
- 10.3969/j.issn.1009-3079.1999.12.014
- Key Word:
- 胰胆管造影,内窥镜逆行;括约肌预切开术;手术后并发症
Abstract： 目的对乳头括约肌预切开术在内窥镜逆行胰胆管造影术(ERCP)诊断和治疗中的作用及其安全性作回顾性评价.方法 73例患者在行ERCP诊疗时,当常规操作不能使胆系显影或胆道深部插管困难时,即用犁状拉式刀行乳头预切开,观察预切开的效果和近期并发症.结果全组胆道造影成功率95.9%,胆管深部插管成功率72.9%,其中第一次操作胆道显影率93.2%,深部插管率62.9%.术后并发症5例(6.8%),包括轻度胰腺炎2例,发热3例.结论乳头括约肌预切开术是ERCP诊疗中成功进入胆道的一项极有效的方法,但需熟练的内镜医师操作.采用犁状刀进行预切开安全性高,并发症少.
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