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首页> 外文期刊>Archives of Iranian medicine >Needle-Knife Fistulotomy versus Standard Method for Cannulation of Common Bile Duct: A Randomized Controlled Trial.
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Needle-Knife Fistulotomy versus Standard Method for Cannulation of Common Bile Duct: A Randomized Controlled Trial.

机译：针刀Fistulotomy与普通方法的胆总管插管法：随机对照试验。

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BACKGROUND: Endoscopic retrograde cholangiopancreatography with endoscopic sphincterotomy has become widely available for the treatment of pancreatobiliary diseases; however, it has mortality and complications. The aim of this study was to compare the success rates and complications of two different methods of common bile duct cannulation. METHODS: From June 2003 though February 2004, patients who were candidates for endoscopic retrograde cholangiopancreatography and/or endoscopic sphincterotomy were randomly divided into two groups: standard cannulation (group A) and suprapapillary needle-knife fistulotomy (group B). Postendoscopic retrograde cholangiopancreatography pancreatitis, cholangitis, bleeding, and perforation were evaluated. RESULTS: Two hundred and eighteen cases (86 males and 132 females with a mean+/-SD age of 56.2+/-17.5 years) were enrolled in this study. Group A, contained 112 patients and group B included 106 patients. In group A, the final cannulation success was achieved in 100 patients (89.3%). Cannulation was successful in 88 patients (83.0%) in group B. Difficulty in cannulation occurred more frequently in group A (25.5% vs. 2.6%, P=0.002). There were two patients in group B and three patients in group A who developed pancreatitis after endoscopic retrograde cholangiopancreatography. Perforation occurred in one patient in group B, which was improved with medical support. Bleeding and cholangitis were not occurred in any of the groups. The overall complication rate was 3/112 in group A and 3/106 in group B.CONCLUSION: Needle-knife fistulotomy is safe and can be applied as an effective alternative to standard technique for common bile duct cannulation in expert hands.
机译：背景：内镜下逆行胰胆管造影结合内镜括约肌切开术已广泛用于治疗胰腺胆道疾病。但是，它具有死亡率和并发症。这项研究的目的是比较两种不同的胆总管插管方法的成功率和并发症。方法：从2003年6月至2004年2月，将内镜逆行胰胆管造影术和/或内镜括约肌切开术的患者随机分为两组：标准插管（A组）和乳头上针刀切开术（B组）。内镜后逆行胰胆管造影检查胰腺炎，胆管炎，出血和穿孔。结果：本研究共入选218例（男性86例，女性132例，平均+/- SD年龄为56.2 +/- 17.5岁）。 A组112例患者，B组106例患者。在A组中，最终的插管成功率达到了100名患者（89.3％）。 B组中88例患者成功插管（83.0％）。A组中插管困难的发生率更高（25.5％vs. 2.6％，P = 0.002）。内镜逆行胰胆管造影检查后，B组有2例患者，A组有3例患者出现胰腺炎。 B组中一名患者发生穿孔，在医疗支持下情况有所改善。所有组均未发生出血和胆管炎。结论：A组总并发症发生率为3/112，B组总并发症发生率为3/106。结论：针刀切开切开术是安全的，可作为专家手普通胆管插管的标准技术的有效替代方法。

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