[1]邹富胜,秦明放,王庆,等.以十二指肠镜为主治疗高龄结石性急性胆管炎[J].中国微创外科杂志,2006,06(5):354-355.
　Zou Fusheng,Qin Mingfang,Wang Qing,et al.Management of calculous acute cholangitis predom inantly under duodenoscope in senile patients[J].Chinese Journal of Minimally Invasive Surgery,2006,06(5):354-355.
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以十二指肠镜为主治疗高龄结石性急性胆管炎()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年5期
页码:
354-355
栏目:
出版日期:
2006-05-20

文章信息/Info

Title:
Management of calculous acute cholangitis predom inantly under duodenoscope in senile patients
作者:
邹富胜; 秦明放; 王庆; 勾承月
天津市南开医院微创外科,天津,300100
Author(s):
Zou Fusheng;  Qin Mingfang;  Wang Qing;  et al
Department of Minimally Invasive Surgery, Nankai Hospiat, Tianjin 300100, China
关键词:
十二指肠镜; 高龄; 急性胆管炎; 胆石症
Keywords:
Duodenoscopy; 　Aged; 　Acute cholangitis; 　Cholelithiasis
分类号:
R657.4
文献标志码:
A
摘要:
目的探讨十二指肠镜、腹腔镜治疗高龄结石性急性胆管炎的疗效. 方法 1998年5月～2005年6月,我院对年龄 >75岁因胆管结石诱发急性胆管炎273例,首先经十二指肠镜行鼻胆管引流术(endoscopic nasobiliary drainage, ENBD),待急诊情况缓解后,根据患者的身体条件和局部结石情况,分别行网篮取石、三镜联合胆总管探查术或经十二指肠镜胆肠内引流术(endoscopic retrograde biliary drainage, ERBD). 结果 273例ENBD全部放置成功.ENBD术后死亡3例.余270例中首次急诊内镜取净结石36例;二次十二指肠镜取净结石178例;31例行ERBD;25例行三镜联合胆总管探查术,其中1例中转开腹手术.270例十二指肠镜、腹腔镜治疗中无严重并发症发生. 结论高龄急性胆管炎患者,急诊ENBD缓解胆道梗阻症状后,综合利用经十二指肠镜取石、ERBD及三镜联合胆总管探查术,可达到安全、满意的疗效,避免开腹手术.
Abstract:
Objective　To study the effectiveness of endoscopic treatment of calculous acute cholangitis in senile patients.　 M ethods　A total of273 senile patients (> 75 years old) with calculous acute cholangitiswere endoscopically treated fromMay 1998 to June 2005.

参考文献/References:

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[3]秦明放,邹富胜,王震宇,等.内镜十二指肠乳头电针开窗术691例分析.中华消化内镜杂志,2001,18(2):95-96.
[4]李宁,秦明放,王庆,等.内镜鼻胆管引流术在腹腔镜和开腹胆总管探查术中的应用.中国微创外科杂志,2003,3(1):26-27.
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更新日期/Last Update: 2014-01-27