内镜下EST术联合大球囊扩张治疗胆总管结石术后分析

内镜下EST术联合大球囊扩张治疗胆总管结石术后分析

王国鑫，孙思予*，刘香，王晟，葛楠，郭瑾陶

(中国医科大学附属盛京医院内镜中心，辽宁，沈阳 110001)

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-04-25

Analysis of EST Combined with Large Balloon Dilation in the Treatment of Common Bile Duct Stones

Wang Guo-xin, Sun Si-yu, Liu Xiang, et al.

(Endoscopy Center, Shengjing Hospital, affiliated to China Medical University, Shenyang 110001, China)

Received:1900-01-01 Revised:1900-01-01 Online:2016-04-25

摘要/Abstract

摘要： 【摘要】目的：探讨内镜下十二指肠乳头括约肌切开术（EST）联合大球囊扩张治疗胆总管结石术（SEST+ELPBD）后胆总管结石复发率及相关因素分析。方法：回顾性分析我院使用内镜下SEST+ELPBD患者424例的随访资料，统计胆总管结石复发率，对相关危险因素进行Logistic回归分析。结果：424例患者平均随访时间49.5个月，胆总管结石复发率4.0%。Logistic回归分析显示十二指肠憩室、胆囊结石、胆囊切除、机械碎石与胆总管结石复发相关。结论：SEST+ELPBD后胆总管结石复发率较低，壶腹部憩室、胆囊结石、胆囊切除、机械碎石与胆总管结石复发相关。

Abstract: 【ABSTRACT】Objective: To investigate the recurrence rate and related factors of common bile duct stones in patients with common bile duct stones after endoscopic duodenal papilla(EST) combined with large balloon dilation(SEST+ELPBD). Methods: Retrospective analysis of 424 cases of SEST+ELPBD patients in our hospital were followed up, the recurrence rate of common bile duct stones was analyzed, and the related risk factors were analyzed by Logistic regression analysis. Results:The average follow-up time was 49.5 months, and the recurrence rate was 4% in 424 patients. Logistic regression analysis showed that the duodenal diverticulum, gallstones, gallbladder resection, mechanical lithotripsy with common bile duct stones associated with recurrence. Conclusion: SEST+ELPBD choledocholithiasis recurrence rate is low, pot belly diverticulum, cholecystolithiasis, cholecystectomy, mechanical lithotripsy and common bile duct stone recurrence.

王国鑫，孙思予*，刘香，王晟，葛楠，郭瑾陶. 内镜下EST术联合大球囊扩张治疗胆总管结石术后分析[J]. .

Wang Guo-xin, Sun Si-yu, Liu Xiang, et al.. Analysis of EST Combined with Large Balloon Dilation in the Treatment of Common Bile Duct Stones[J]. .

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