[1]马朝来,张同琳.内镜Oddi括约肌切开术适应证的商榷[J].中国微创外科杂志,2007,07(2):100-102.
　Ma Zhaolai,Zhang Tonglin..A discussion on indications of endoscopic sphincterotomy[J].Chinese Journal of Minimally Invasive Surgery,2007,07(2):100-102.
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内镜Oddi括约肌切开术适应证的商榷()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
07
期数:
2007年2期
页码:
100-102
栏目:
出版日期:
2007-02-20

文章信息/Info

Title:
A discussion on indications of endoscopic sphincterotomy
作者:
马朝来; 张同琳
北京大学第三医院普通外科，北京100083
Author(s):
Ma Zhaolai;  Zhang Tonglin.
Department of General Surgery, Peking University Third Hospital, Beijing 100083, China
关键词:
内镜Oddi括约肌切开术; 适应证
Keywords:
Endoscopic sphincterotomy; Indication
分类号:
R656.6；R619
文献标志码:
A
摘要:
目的探讨内镜Oddi括约肌切开术（endoscopic sphincterotomy，EST）适应证的规范合理范围。方法回顾分析我院2005年1月～2006年1月EST适应证有争议的病例9例，包括肝炎合并肝内胆汁淤积性黄疸1例、肝内外胆管结石1例、胆总管结石1例、胆道下段及上段肿瘤性梗阻各1例、十二指肠乳头肿瘤2例、胆总管囊肿1例、胆囊结石合并胆总管结石1例。结果除1例内科黄疸被误诊外，其余8例均为外科治疗的适应证，其中5例EST后又行手术治疗，1例因EST后病情加重而失去手术机会，2例晚期肿瘤行EST后放弃根治手术。结论未能解除胆道上游狭窄病变者，EST不能达到治疗目的，并可能增加疾病风险；可以手术切除的肿瘤EST可能没有必要；年轻患者EST应慎重。
Abstract:
ObjectiveTo investigate proper indications of endoscopic sphincterotomy (EST).MethodsA retrospective review was made on 9 cases of EST with controversial indications from January 2005 to January 2006 in this hospital. There were 1 case of jaundice due to

参考文献/References:

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更新日期/Last Update: 2013-11-15