经胰管预切开与双导丝技术在困难胆管插管中的插管效果及安全性对比

目的:比较经胰管预切开与双导丝技术在困难胆管插管中的插管效果及安全性。方法:收集我院2017年1月～2018年12月收治的60例经内镜逆行性胰胆管造影术、反复进入胰管的困难胆管插管患者,将患者按照入院先后顺序分为观察组和对照组,每组30例。两组患者分别经胰管预切开及双导丝技术辅助插管,对两组患者插管时间、插管成功率以及并发症的发生情况进行综合评价。结果:观察组患者插管时间短于对照组(P0.05),插管成功率为96.7%,显著高于对照组(73.3%,P0.05)。观察组和对照组患者并发症的发生率分别为10.0%、13.3%,组间差异无统计学意义(P0.05)。结论:对困难胆管插管患者,采用经胰管预切开的方式辅助插管操作简单,插管时间短,成功率高,且不增加并发症发生率。

Comparison of the Effect and Safety of Transpancreatic Duct pre-incision and Double-wire Technique on the Difficult Biliary Intubation

ABSTRACT Objective: To compare the effect and safety of transpancreatic duct pre-incision and double-wire technique for the difficult biliary intubation. Methods: From January 2017 to December 2018, 60 patients with endoscopic retrograde cholangiopancreatography and repeated biliary intubation of difficult pancreatic duct were collected. The patients were divided into the observation group and thecontrol group according the admission order, with 30 patients in each group. Both groups were treated with pancreatic duct pre-incision and double-wire technique-assisted intubation respectively. The intubation time, intubation success rate and incidence of complications were compared between two groups. Results: The intubation time of observation group was shorter than that of the control group (P<0.05). The success rate of intubation in the observation group was 96.7 %, which was significantly higher than that in the control group (73.3 %, P<0.05). The incidence of complications in the two groups was 10.0 % VS13.3 %. (P>0.05), there was no significant difference between two groups. Conclusion: Pre-incision of pancreatic duct could be used to assist intubation in patients with difficult biliary duct intubation, which was simple to operate, had short intubation time, high success rate and no increase of complications.