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目的评价经内镜尼龙绳套扎术治疗十二指肠乳头腺瘤的可行性、安全性及随访结果。方法收集2012年1月-2014年6月于沈阳军区总医院接受治疗的十二指肠乳头腺瘤患者23例,先行经内镜逆行胰胆管造影放置胆管及胰管支架,再应用尼龙绳将肿物完全套扎。内镜定期随访观察肿物有无复发。结果 23例患者胆胰管支架放置及尼龙绳套扎均一次成功,2周内复查内镜肿物均完全脱落;术后并发胆管炎1例(4.3%),胰腺炎2例(8.7%),无出血、穿孔及死亡发生。所有患者术后均随访1年以上,2例腺瘤局部复发。结论经内镜尼龙绳套扎治疗十二指肠乳头腺瘤是一种安全、有效的技术。
Objective To evaluate the feasibility, safety and follow-up of endoscopic nylon ligation in the treatment of duodenal papillary adenoma. Methods Twenty-three patients with duodenal papillary adenoma treated at Shenyang Military Region General Hospital from January 2012 to June 2014 were collected. First, biliary and pancreatic duct stents were placed by endoscopic retrograde cholangiopancreatography, and then nylon cord Totally ligation of the tumor. Endoscopic regular follow-up observation of tumor recurrence. Results Twenty-three patients were successfully placed in the biliary and pancreatic duct stents and ligation of nylon ropes. The endoscopic masses were completely removed within two weeks. One patient (4.3%) had cholangitis and two (8.7%) had pancreatitis after operation. No bleeding, perforation and death occurred. All patients were followed up for more than 1 year, 2 cases of local recurrence of adenoma. Conclusion Endoscopic nylon rope ligation of duodenal papillary adenoma is a safe and effective technique.