ERCP在胃大部切除消化道重建毕Ⅱ术后胆总管结石患者的应用

doi:10.3969/j.issn.10073205.2019.04.012

河北医科大学学报

ERCP在胃大部切除消化道重建毕Ⅱ术后胆总管结石患者的应用

1.河北医科大学第二医院肝胆外科，河北石家庄 050000;2.河北省石家庄市中医院皮肤科，河北石家庄 050051；
3.冀中能源峰峰集团有限公司总医院外三科，河北邯郸 056200

出版日期:2019-04-25 发布日期:2019-04-22
作者简介:陈圣雄（1985-），男，福建仙游人，河北医科大学第二医院主治医师，医学硕士，从事肝胆胰外科疾病诊治研究。

Application of ERCP on choledocholithiasis in patients with Billroth Ⅱ gastrectomy

1.Department of Hepatobiliary Surgery, the Second Hospital of Hebei Medical University， Shijiazhuang
050000， China； 2.Department of Dermatology， Traditional Chinese Medicine Hospital of Shijiazhuang，
Hebei Province, Shijiazhuang 050051， China； 3.The third Department of Surgery, General
Hospital of Jizhong Energy Fengfeng Group Company Limited，
Hebei Province, Handan 056200， China

Online:2019-04-25 Published:2019-04-22

摘要/Abstract

摘要： ［摘要］〓
〖HTH〗目的〖HTSS〗〖KG*2〗通过胃大部切除消化道重建毕Ⅱ术后胆总管结石患者行腹腔镜胆道探查取石与内镜逆行胰胆管造影术（endoscopic retrograde cholangiopancreatography,ERCP）取石的对照研究，评价胃大部切除消化道重建毕Ⅱ术后胆总管结石患者行ERCP取石的临床疗效。
〖HTH〗方法〖HTSS〗〖KG*2〗胃大部切除毕Ⅱ式吻合术后胆总管结石61例患者根据行手术取石治疗方式分为腹腔镜组35例、ERCP组26例，比较2组取石成功率、手术操作时间、术后下床活动时间、术后住院时间、并发症发生率、住院费用等指标。
〖HTH〗结果〖HTSS〗〖KG*2〗ERCP组取石成功率低于腹腔镜组，手术操作时间、术后下床活动时间、术后住院时间短于腹腔镜组，并发症少于腹腔镜组，住院费用低于腹腔镜组，差异均有统计学意义（P＜005）。
〖HTH〗结论〖HTSS〗〖KG*2〗胃大部切除消化道重建毕Ⅱ式吻合术后胆道结石患者行ERCP取石，创伤更小，恢复更快，费用更少，值得推广。

关键词: 胆总管结石, 胰胆管造影术, 内窥镜逆行, 胃切除术

Abstract: 〗［Abstract］ Objective〖HTSS〗〓To evaluate the clinical effect of endoscopic retrograde cholangiopancreatography(ERCP) on choledocholithiasis in patients with Billroth Ⅱ gastrectomy through the comparative study of the laparoscopic choledochotomy and ERCP on choledocholithiasis in patients with Billroth Ⅱ gastrectomy.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓According to the way of operation，61 patients with choledocholithiasis with Billroth Ⅱ gastrectomy were divided into laparoscopic group(35 cases) and ERCP group(26 cases). The success rate of stone removal, the operation time, the time of getting out of bed after operation, the time of hospitalization after operation,the complications and the hospitalization cost were compared between the two groups.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The success rate of stone removal in ERCP group was lower than that in laparoscopy group, but the operation time, the time of getting out of bed after operation, the time of hospitalization after operation in ERCP group were less than that in laparoscopy group, the complications were less than that in laparoscopy group, and the hospitalization cost was less than that in laparoscopy group, with statistical significance(P＜005).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓ERCP on choledocholithiasis in patients with Billroth Ⅱ gastrectomy has less trauma, faster recovery and less cost， which is worth popularizing.

Key words: choledocholithiasis, cholangiopancreatography, endoscopic retrograde, gastrectomy

陈圣雄1，郝子佳2，金〓成1，屈志刚3，段佳悦1，王文斌1*. ERCP在胃大部切除消化道重建毕Ⅱ术后胆总管结石患者的应用[J]. 河北医科大学学报, doi: 10.3969/j.issn.10073205.2019.04.012.

CHEN Shengxiong1, HAO Zijia2， JIN Cheng1， QU Zhigang3， DUAN Jiayue1， WANG Wenbin1*. Application of ERCP on choledocholithiasis in patients with Billroth Ⅱ gastrectomy[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2019.04.012.

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ERCP在胃大部切除消化道重建毕Ⅱ术后胆总管结石患者的应用

Application of ERCP on choledocholithiasis in patients with Billroth Ⅱ gastrectomy

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