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目的 探讨经内镜微创治疗胆胰疾病的应用价值。方法 回顾性分析 1995年 7月至 2 0 0 2年 3月经内镜微创治疗胆胰疾病 42 2例次的效果及并发症 ,探讨各种方法的应用价值及优缺点。结果 42 2例患者分别采取了乳头切开、气囊扩张、机械碎石、取石、鼻胆引流术、胆道放置内支架等治疗 ,其成功率为 94 5 5 %,并发症3 79%。结论 内镜微创治疗胆胰疾病有效、安全且对病人损伤小、可代替部分胆胰疾病的外科手术治疗。
Objective To explore the value of endoscopic minimally invasive treatment of biliary and pancreatic diseases. Methods The clinical data of 422 cases of gallstone and pancreatic diseases treated by endoscopic minimally invasive biopsy from July 1995 to March 2002 were retrospectively analyzed. The application value, advantages and disadvantages of various methods were discussed. Results Two hundred and two patients underwent papillary incision, balloon dilatation, mechanical gravel, stone removal, drainage of nasal biliary duct, placement of biliary stents, respectively, with a success rate of 94.5% and complication of 79%. Conclusion Endoscopic minimally invasive treatment of biliary and pancreatic diseases effective, safe and small damage to the patient, can replace part of the biliary and pancreatic diseases surgical treatment.