论文部分内容阅读
目的探讨双导丝技术在困难经内镜逆行胰胆管造影(ERCP)检查中的应用体会。方法776例困难ER-CP患者中701例胆道插管困难者采用先保留胰管导丝,再从胰管导丝左上角插入胆道导丝的方法进行胰胆管造影;75例胰管插管困难者采用先保留总胆管导丝,再从胆道导丝右侧垂直于十二指肠乳头方向插入胰管导丝的方法进行胰胆管造影。结果701例胆道插管困难者首次ERCP检查成功697例(99.4%,697/701);75例胰管插管困难者中74例(98.7%,74/75)首次检查成功。结论ERCP双导丝技术运用简易,首先选择容易插管的胆管或胰管留置导丝可提高对侧管道的插管成功率,使检查时间明显缩短。
Objective To explore the application of double guidewire technique in difficult endoscopic retrograde cholangiopancreatography (ERCP). Methods Seven hundred and seventy-seven patients with difficult ER-CP had choledocholithiasis, and pancreatic duct was inserted into the upper left corner of the pancreatic duct. Cholangiopancreatography was performed in 75 patients with pancreatic intubation. The first use of the common biliary duct guide wire, and then from the right side of the biliary guide wire perpendicular to the direction of duodenal papilla into the pancreatic duct guide method of pancreatic cholangiography. Results A total of 697 cases (99.4%, 697/701) of the 701 patients with difficult biliary intubation were enrolled in the first ERCP examination. 74 of the 75 patients (98.7%, 74/75) with difficulty in intubation were successfully checked out for the first time. Conclusion The ERCP double guide wire technique is simple and easy to use. First choose the easily cannulated bile duct or pancreatic duct indwelling guide wire can improve the success rate of contralateral tube intubation, so that the examination time was significantly shortened.