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自制针状刀在内镜逆行胰胆管造影中的应用
引用本文:李堃,张炳印,任早亮,庞勇,白文涛,李想. 自制针状刀在内镜逆行胰胆管造影中的应用[J]. 科学技术与工程, 2010, 10(32)
作者姓名:李堃  张炳印  任早亮  庞勇  白文涛  李想
作者单位:1. 贵州省疾控中心附属医院普外科,贵阳,550008
2. 成都军区总医院全军普外中心微创外科,成都,610083
摘    要:摘要:通过对813例内镜逆行胰胆管造影(ERCP)患者临床资料回顾性分析,探讨自制针状刀在ERCP中的应用价值。将三腔弓状切开刀末端自露出刀丝处横向剪断导丝及导管,远端弃之,并将近端之断端抛光等处理后制成可同时通过导丝的三腔针状刀。对51例十二指肠乳头壶腹部结石嵌顿及41例插管困难者采用了自制针状刀切开,所有病例均采用自制针状刀电凝止血,结果除了2例插管困难者切开后仍未找到胆管外,其余病例全部成功完成治疗,疗效满意。自制针状刀提高了ERCP插管的成功率,具有特殊的止血效果。自制针状刀的使用也降低了医疗成本,其制作简单,安全有效。

关 键 词:内镜逆行胰胆管造影;括约肌切开术;内窥镜;自制针状刀;止血
收稿时间:2010-08-21
修稿时间:2010-09-10

Application of innovative needleknife in ERCP
LI kun,ZHANG bing-ying,REN zao-liang,PANG yong,BAI wen-tao and LI xiang. Application of innovative needleknife in ERCP[J]. Science Technology and Engineering, 2010, 10(32)
Authors:LI kun  ZHANG bing-ying  REN zao-liang  PANG yong  BAI wen-tao  LI xiang
Affiliation:LI Kun,ZHANG Bing-yin1,REN Zao-liang,PANG Yong,BAI Wen-tao1,LI Xiang1(Department of General Surgery,The Affiliated Hospital,Centre for Disease Control and Prevention of Guizhou Province,Guiyang 550008,P.R.China,Center of General Surgery,Chengdu General Hospital of Chengdu Command1,Chengdu 610083,P.R.China)
Abstract:The aim of this study was to assess the utility of a new kind of Triple Lumen Needleknife in precut sphincterotomy in endoscopic retrograde cholangio- pancreatography (ERCP). Triple Lumen Needleknife,the innovative needleknife,is derived from Ultratome XL Triple Lumen Sphincterotome through removing the end part of the Sphincterotome. After the end of grinding and polishing,the new kind of Triple Lumen Needleknife can be insert the guide wire and can be sterilized and applied to ERCP. In the retrospective s...
Keywords:Cholangiopancreatography,Endoscopic Retrograde  Sphincterotomy,Endoscopic  Intubation  Needling Manipulation
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