论文部分内容阅读
目的总结针状切开乳头开窗术(NKF)在内镜下十二指肠乳头切开术中的经验,分析其疗效与安全性。方法回顾性分析上海交通大学新华医院2003-01—2007-12施行NKF242例临床资料。结果本组242例中一次性乳头开窗插管成功238例,3例行二次ERCP术,术后无胆管炎、消化道出血及穿孔等并发症发生。本组无操作后死亡病例,短期随访期间无其他与操作有关并发症的发生。结论NKF是成功、迅速完成ERCP操作的重要方法之一,熟练应用乳头开窗技术,可减少NKF危险性,提高ERCP成功率,降低并发症。
Objective To summarize the experience of needle-open papilla fenestration (NKF) in endoscopic papillary duodenotomy and analyze its curative effect and safety. Methods Retrospective analysis of Xinhua Hospital, Shanghai Jiaotong University, 2003-01-2007-12 NKF242 cases of clinical data. Results In this group, 238 cases of successful intubation were performed in 242 cases of nipple fenestration. Three cases underwent secondary ERCP. No postoperative cholangitis, gastrointestinal bleeding and perforation occurred. No deaths after operation in this group, no other during the short-term follow-up with the operation-related complications. Conclusion NKF is one of the most important and successful methods for successful and rapid ERCP operation. Skilled nipple fenestration can reduce the risk of NKF, improve the success rate of ERCP and reduce the complications.