Objective To investigate the effectiveness of hemostatic-clip-assisted method during ERCP with ampulla around duodenal diverticulum. Methods 25 patients with ampulla around duodenal diverticulum encountered cannulation difficulty, 11 cases underwent with clip-assisted method, 14 cases with ordinary ways. Number of successful cases, cannulation time, post-operation complication were analyzed. Results All the 11 cases succeeded in clip group. 12 patients succeeded in none-clip group. Cannulation time between the two groups were discrepant. There was no difference in number of successful cases and post-operation complication rate. Conclusion Successful application of hemostatic clip help to expose and facilitate cannulation of an ampulla around a duodenal diverticulum.%目的 观察和谐夹助在十二指肠憩室边缘乳头插管困难中应用的效果.方法 选取25例行经内镜逆行胰胆管造影(ERCP)的患者,为憩室边缘乳头,尝试插管困难(常规插管>10 min).实验组11例使用和谐夹将乳头一侧黏膜夹闭,对照组14例继续尝试传统技术插管,记录两组插管成功例数及时间,比较两组术后并发腹痛、胰腺炎发生率.结果 实验组患者均插管成功(100.00%),对照组12例成功(85.7%).实验组手术耗时少于对照组(P <0.05),术后并发症差异无统计学意义(P >0.05).结论 合理地应用和谐夹,有利于十二指肠憩室边缘乳头暴露和成功插管.
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