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经内镜乳头括约肌切开治疗乳头狭窄的临床研究

Clinical study on treatment of choledochoodditis by endoscopic sphincterotomy.

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【作者】 李世雄李玉民李汛李铁钧

【Author】 Li Shixiong,Li Yumin,Li Xun,et al.Department of General Surgery,First Hospital of Lanzhou Medical College.Lanzhou 73000

【机构】 兰州医学院第一附属医院普外科

【摘要】 为观察内镜乳头括约肌切开(EST)治疗十二指肠乳头良性狭窄的临床疗效,对60例乳头良性狭窄病人进行了EST治疗,30例施行改良EST,另30例行常规EST。观察两组病人术后并发症、临床症状改善情况。改良组术后并发症发生率67%,常规组33%(P>005)。改良组乳头再狭窄临床症状复发者占67%,而常规组复发者占30%(P<005)。结果表明:改良EST治疗乳头良性狭窄的疗效优于常规EST。

【Abstract】 n order to investigate the clinical effects of endoscopic shpincterotomy(EST) on treatment of choledochoodditis,60 cases with choledochoodditis were treated using EST. 30 cases were treated by improved EST and the other 30 by conventional EST for control.All cases with EST were followed up for two years on the short term complication and clinical symptom.The result shows:In improved group the short term complication with EST was 6.7%,and the clinical recurrence rate was 6.7%; In control group,the complication was 3.3%(P>005) and the clinical recurrence rate was 30%(P<005).The conclusion is that improved EST is superior to conventional EST for treating choledochoodditis.

  • 【文献出处】 中国实用外科杂志 ,CHINESE JOURNAL OF PRACTICAL SURGERY , 编辑部邮箱 ,1998年07期
  • 【分类号】R657.4
  • 【被引频次】2
  • 【下载频次】40
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