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Needle-knife fistulotomy for 253 Cases of difficult papillotomy

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Author:: No author available

Journal Title:: WORLD CHINESE JOURNAL OF DIGESTOLOGY

Issue:: 2

DOI:: 10.3969/j.issn.1009-3079.2002.02.019

Key Word:: No keyword available

Abstract：目的:探讨针形切开刀在困难乳头括约肌切开术中应用的技巧和价值.方法:本组182例采用针形刀开窗术(NKF),71例直接用针形切开刀作乳头切开(NKP).结果:NKF组的成功率为94.5%,NKP组全部成功,总成功率为96.0%.4例术后发生胆道感染,其中2例转外科手术胆道引流.9例并发术后胰腺炎(均为水肿型).24例发生轻度切缘出血,经局部喷洒孟氏液后止血.2例因导丝错位而穿孔,但未造成后腹膜腔感染.结论:针形切开刀的应用可使大多数困难的标准EST或前切开失败者获得乳头切开成功,而严重的并发症和死亡率并无增加,但对乳头过小和胆总管末端较细者应尽量限制

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