内镜下乳头切开术和鼻胆管引流术治疗胆道疾病——附77例报告  

Treatment of the Biliary Duct Diseases with EPT and ENBD Method: An Analysis of 77 Cases

作　　者：崔生达[1] 朱建新[1] 万田漠[1] 刘方军 冯福才[1] 

机构地区：[1]第一军医大学南方医院消化科,510515

出　　处：《临床消化病杂志》1992年第2期71-73,共3页Chinese Journal of Clinical Gastroenterology

摘　　要：本文报告经EPT、ENBD法治疗胆道疾病77例。30例多发性胆道结石,EPT后胆石排净18例,部分排出12例。21例急性化脓性胆管炎行ENBD后2天内感染中毒症状消失。有6例胆石症经ENBD导管注入30％泛影葡胺后胆系显影良好,在X-ray定位下体外震波碎石成功。本文还讨论了针式电刀的制作,EPT、ENBD适应证和操作注意事项。Seventy-seven patients with biliary tract diseases treated by EPT or ENBD were reported in this paper. Cholelithes were completly cleared in 18 cases and partly cleared in 12 cases after EPT in 30 cases of multiple cholelithes. Intoxicative symtems of infection disappear in 21 cases of AOSC by ENBD 2 days later. 6 cases of cholelithes were infused with 30％ urografin by ENBD tube, and then biliary tract and gallbladder were developed good and the lithotrity were successed by ESWL located by X-ray. Making needle-shaped electrotome and indication and maniplative attentions of EPT and ENBD were also discussed.

关 键 词：胆石症 胆道感染 内镱下乳头切开术 鼻胆管引流术 

分 类 号：R57[医药卫生—消化系统]