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目的:探讨超声引导下经内镜治疗胆总管结石的有效性及安全性。方法:52例经超声和磁共振胰胆管造影检查确诊的胆总管结石患者,行超声引导下经内镜十二指肠乳头括约肌切开取石治疗。结果:成功取出结石48例,成功率92.3%;发生一过性血清淀粉酶增高3例、胆管炎1例,未发生出血、穿孔等并发症。结论:超声引导下经内镜治疗胆总管结石安全、有效,同时可避免X线对医患双方的辐射。
Objective: To investigate the effectiveness and safety of ultrasound-guided endoscopic treatment of common bile duct stones. Methods: Fifty-two patients with choledocholithiasis confirmed by ultrasonography and magnetic resonance cholangiopancreatography were treated by endoscopic ultrasonography and duodenal sphincterotomy. Results: 48 cases were successfully removed, with a success rate of 92.3%. Three cases of transient serum amylase and 1 case of cholangitis occurred without complications such as hemorrhage and perforation. Conclusion: Ultrasound-guided endoscopic treatment of choledocholithiasis is safe and effective, and at the same time can avoid the radiation of both X-ray and the patient.