[1]朱庆云,陈石伟,蔡晓燕,等.经皮肝穿刺球囊扩张十二指肠乳头括约肌取石术治疗胆总管结石3例[J].介入放射学杂志,2016,(07):603-605.
　ZHU Qing-yun,CHEN Shi-wei,CAI Xiao-yan,et al.Percutaneous transhepatic balloon dilation of duodenal papilla sphincter for common bile duct stone removal: preliminary results of three cases [J].journal interventional radiology,2016,(07):603-605.
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经皮肝穿刺球囊扩张十二指肠乳头括约肌取石术治疗胆总管结石3例 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2016年07期
页码:
603-605
栏目:
非血管介入
出版日期:
2016-07-25

文章信息/Info

Title:

Percutaneous transhepatic balloon dilation of duodenal papilla sphincter for common bile duct stone removal: preliminary results of three cases

 

作者:
朱庆云; 陈石伟; 蔡晓燕; 乔德林; 李勇; 李能平
Author(s):
ZHU Qing-yun;  CHEN Shi-wei;  CAI Xiao-yan;  QIAO De-lin;  LI Yong;  LI Neng-ping
Department of Interventional Radiology, Gongli Hospital of Pudong New Area, Shanghai 200135, China
关键词:
【关键词】胆总管结石;  经皮肝穿乳头扩张术;  毕Ⅱ胃肠吻合术
文献标志码:
A
摘要:
【摘要】目的探讨经皮肝穿刺球囊扩张十二指肠乳头括约肌取石术治疗胆总管结石的临床价值。方法对3例胃切除毕Ⅱ式手术和胆总管切开取石术后复发，经十二指肠镜取石失败的患者行经皮肝穿刺扩张胆管，用球囊扩张十二指肠乳头括约肌后将结石推入十二指肠的取石术治疗胆总管结石。结果3例患者均一次性手术成功，术后放置内外引流管，1周内再次造影未见胆管残余结石影。结论经皮肝穿刺球囊扩张十二指肠乳头括约肌取石术治疗胆总管结石安全可行，对不宜手术且内镜取石失败的胆管结石治疗有重要价值。


参考文献/References:

［1］李明武， 殷占新， 韩国宏. 经皮肝穿胆道引流术治疗恶性梗阻性黄疸的临床应用现状［J］. 介入放射学杂志， 2013， 22： 877-880.

［2］Park YS, Kim JH， Choi YW， et al. Percutaneous treatment of extrahepatic bile duct stones assisted by balloon sphincteroplasty and occlusion balloon［J］. Korean J Radiol, 2005, 6: 235-240.

［3］Shirai N, Hanai H, Kajimura M, et al. Successful treatment of percutaneous transhepatic papillary dilation in patients with obstructive jaundice due to common bile duct stones after Billroth Ⅱ gastrectomy: report of two emergent cases［J］. J Clin Gastroenterol, 2000, 30: 91-93.

［4］钟敏， 曾少敏， 郭光华. 括约肌切开术和乳头气囊扩张术治疗胆总管结石症的疗效比较［J］. 实用医学杂志, 2004, 20： 265-267.

［5］Phalanusitthepha C, Augkurawaranon C, Sriprayoon T, et al. Outcomes of endoscopic sphincteroplasty using large balloon dilatation for difficult common bile duct stone removal: a single endoscopist experience［J］. J Med Assoc Thai, 2014, 97: 699-704.

［6］Rouquette O, Bommelaer G, Abergel A, et al. Large balloon dilation post endoscopic sphincterotomy in removal of difficult common bile duct stones: a literature review［J］. World J Gastroenterol, 2014, 20: 7760-7766.

 

备注/Memo

备注/Memo:
(收稿日期：2015-11-08）


(本文编辑：俞瑞纲）
更新日期/Last Update: 2016-07-18