首页> 中文期刊> 《临床消化病杂志》 >内镜下胆道塑料支架置入术治疗腹腔镜胆囊切除术后胆管狭窄疗效观察

内镜下胆道塑料支架置入术治疗腹腔镜胆囊切除术后胆管狭窄疗效观察

         

摘要

Objective]To explore the endoscopic retrograde biliary drainage (ERBD)efficacy of the pa‐tients with benign bile duct stricture after laparoscopic cholecystectomy (LC)treatment.[Methods]We re‐strospective analyzed efficacy of ERBD treatment in 22 benign bile duct stricture patients cased by LC dur‐ing the past five years(Janary 2007‐May 2012).[Results]Two patients were treated with laparotomy due to severe stenosis.The remaining 20 patients accepted ERBD 25 times ,including 3 patients changed stents for two times ,1 patient changed stents for 3 times.Postoperative complications occurred in 4 cases.Symptoms complete remission was noted after six months.[Conclusion]ERBD is a safe ,effective ,economical and con‐venient intervention methods to treatment the benign bile duct stricture after LC.%[目的]观察内镜下胆道塑料支架置入术治疗腹腔镜胆囊切除术(L C )后胆管良性狭窄患者的疗效。[方法]回顾性分析22例LC后出现胆管良性狭窄患者,经内镜下胆道塑料支架置入术治疗的结果。[结果]22例中2例因狭窄情况严重支架置入术未能成功,转开腹治疗;其余20例在内镜下行胆道塑料支架置入术中共治疗25例次,其中3例更换2次支架,1例更换3次支架。术后出现并发症4例次。并发症发生率为16%,其中胰淀粉酶一过性增高3例次,轻症胰腺炎1例次,经对症保守治疗均痊愈,无严重并发症。患者术后6个月症状完全缓解。[结论]内镜下胆道塑料支架置入术是治疗LC后胆管良性狭窄的安全、有效、经济便捷的介入方法。

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