胆管内预留导丝法在治疗性ERCP应用.pdfVIP

簟七詹童一内甓，卜并侪竹◆ 胆管内预留导丝法在治疗性ERCP中的应用 侯森林乔占英康建省乔娜高永平张立超 河北医科大学第二医院微创外科石家庄050000 【摘要l目的探讨胆管内预留导丝法在有乳头、胆管解剖变异的治疗性ERCP中的应用。方法 有些患者因乳头位置较偏、憩室内或憩室旁乳头、胆管有严重弯曲等等解剖因素的患者，造影成功后 将导丝预留在胆管内，然后再进行治疗性操作。结果成功率明显提高(92．45％VS82．26％)、操作时 间缩短(40±15minVS55+_20min)、并发症发生明显减少(5．66％VS19．35％)，没有严重并发症发生。 结论对有乳头、胆管解剖变异的治疗性ERCP应用此技巧效果肯定，临床上可以推广一． 【关键词】导丝内窥镜ERCP Guide EffectofIntraductWireReservation ERcP duringTherapeutic Hou Sen-Lin,QiaoZhan—。}ring,KangJian-Sheng,OiaoNa,Gao Li-Chao, Yong-Ping,Zhang of Invasive llebeiMedical DepartmentMinimally Surgery,SecondHospital Shijiazhuang050000,China Toobserveintraductwirereservationincaseswith [Abstract】Observe guide anatomicvariationofduodenal orbileduct papiilary therapeutic during Forthese with besidesorinthe ina difficult patientspapilla diverticulum,orplace to the with bile the reach，orpatients duct，1eave wirein severelybending guide thebileductaftersuccessful therapeutic angiography，thenbegan Successfulratewas timewas significantlyincreased(92．45％VS82．26％)，andoperation VS less shorted(40±15min55±20min)with 19．35％)and really complications(5．66％VS nosevere Forthese withanatomic complication happened．Conclusionpatients ofduodenal orbi