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Safety and long-term outcomes of endoscopic papillary balloon dilation for removal of common bile duct stones
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- Author:
- No author available
- Journal Title:
- World Chinese Journal of Digestology
- Issue:
- 6
- DOI:
- 10.11569/wcjd.v28.i6.226
- Key Word:
- 胆总管结石;内镜下乳头球囊扩张术;安全性;长期疗效
Abstract： 背景 内镜下乳头球囊扩张术(endoscopic papillary balloon dilation,EPBD)是治疗胆总管结石(common bile duct stones,CBDSs)一种有效方法,但其安全性及长期疗效却缺乏评价.本研究拟分析EPBD治疗CBDSs的安全性和长期疗效.目的 评估EPBD治疗CBDSs的安全性和长期疗效.方法 分析我院2014-01/2015-12期间收治的CBDSs患者行EPBD的资料.主要观察指标为CBDSs清除率、内镜下逆行性胰胆管造影术(endoscopic retrograde cholangiopancreatography,ERCP)相关并发症和CBDSs复发率.结果 42例CBDSs患者进行了EPBD,全部患者均完成了结石清除(100％).ERCP相关并发症发生4例(4/45,8.8％),均为术后胰腺炎,没有穿孔、出血及胆管炎的发生.在随后进行平均时间为51.8 mo(18-66 mo)随访中,10例(10/42,23.8％)患者CBDSs复发.单因素分析提示女性(比值比=22.891,95％可信区间:1.544-339.362,P=0.023)是结石复发的危险因素.结论 EPBD治疗CBDSs是安全和有效的.长期随访发现,女性可能是结石复发的危险因素.
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