两种预切开方法在逆行胰胆管造影困难性胆管插管的应用探讨

Needle-knife precut versus Plough-knife precut in difficult biliary cannulation

摘要:

目的   探讨两种乳头预切开方法在困难性胆管插管的优劣。方法   比较两种预切开方法在插管成功率、并发症发生率及平均插管时间（从预切开开始到导丝进入胆管的计时）的差异。结果   插管成功率以针状刀预切开更高，差异有统计学意义；两组平均插管时间、并发症发生率比较，差异无统计学意义。结论   临床上困难性十二指肠乳头插管预切开，如导丝不能进入胰管，应首选针状刀预切开。

Abstract:

Objective To discuss which is more efficient between Needle-knife precut and Plough-knife precut in difficult biliary cannulation. Methods The difference in the average time of cannula, percentage of cannula achievement and the complication rate between the two kinds of operation were compared. Results The percentage of cannula achievement about the Needle-knife precut is higher than Plough-knife precut, while there is no notable difference in average time of cannula and the complication rate between the two precuts. Conclusion Needle-knife precut is more efficient than Plough-knife precut in difficult biliary cannulation, if guide wire can not get into pancreatic duct.