体外冲击波碎石联合经内镜逆行胰胆管造影术治疗胰管结石的研究

Extracorpareal shock wave lithotripsy in combination with endoscopic retrograde eholangiopanereatography for pancreatic duct stones

摘要:

目的??探讨体外冲击波碎石术（ESWL）联合经内镜逆行胰胆管造影术（ERCP）在慢性胰腺炎（CP）合并胰管结石（>5 mm）治疗中的适应证、疗效、安全性、麻醉方式和并发症。方法?观察2011年11月-2016年2月，通过ESWL联合ERCP治疗的33例CP患者碎石取石的成功率、并发症情况，随访治疗后6个月和4年疗效，评估联合治疗的有效性。结果?33例患者共进行52次ESWL，碎石成功率（100.00%），ESWL联合ERCP取净结石27例（81.82%）。术后6个月和4年随访患者疼痛、脂肪泻缓解，体重增加。结论?ESWL联合ERCP治疗CP合并胰管结石安全有效。

Abstract:

Objective?To study the indication, efficacy, safety, anesthesia method, and complication of extracorpereal shockwave lithotripsy (ESWL) in combination with endoscopic retrograde eholangiopanereatography (ERCP) for pancreatic duct stones.?Methods?From November 2011 to February 2016, we observed the success rate and safety of ESWL in combination with ERCP in treatment of 33 patients with chronic pancreatitis and large pancreatic duct stones and evaluate the efficacy in 6 month and 4 years follow-up.?Results?All the 33 patients underwent 52 ESWL, the successful fragmentation rate was 100.00%; complete clearance was achieved in 27 patients (81.82%) under the treatment of ESWL in combination with ERCP. Their pain and steatorrhea relieved, the weight increased.?Conclusions?ESWL combined with ERCP is effective, safe for chronic pancreatitis with pancreatic duct stones.