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目的探讨内镜在胆管结石和胆道梗阻中的运用。方法共207例患者在内镜下行乳头切开,用气囊式或蓝式取石器取出肝、胆管结石;对较大结石可机械碎石后取出;对良、恶性胆道梗阻等经逆行胆管造影充分显示梗阻近侧肝、胆管后选择最佳引流处置入鼻胆管、内置管或金属支架。结果单发结石28例,多发结石24例经内镜下乳头切开后碎石、取石成功。鼻胆管、内置管和金属支架置入后,效果满意者分别达83.8%,85.2%和100%。结论治疗性 ERCP 是较好的非手术治疗方法,对胆管结石、阻塞性黄疸的诊治效果良好。
Objective To explore the use of endoscopy in bile duct stones and biliary obstruction. Methods A total of 207 patients underwent endoscopic papillary incision, with balloon or blue stone removal of the liver and bile duct stones; the larger stones can be removed after mechanical gravel; for benign and malignant biliary obstruction by retrograde cholangiography Proximal obstruction shows the proximal liver, bile duct choose the best drainage into the nasal bile duct, tube or metal stent. Results 28 cases of single stone, multiple stones 24 cases of endoscopic papillary incision after gravel, stone success. Nasal bile duct, built-in tube and metal stent placement, the results were satisfactory 83.8%, 85.2% and 100%. Conclusion Therapeutic ERCP is a good non-surgical treatment of bile duct stones, obstructive jaundice diagnosis and treatment of good results.