经内镜鼻胆管引流在胆道疾病中的临床应用(附107例分析)  

Discussion of endoscopic nasobiliary drainage (ENBD) in the therapy of biliary diseases (report of 107 cases)

作　　者：孙竹峰[1] 万柳华[1] 黄东平[1] 

机构地区：[1]上海市普陀区人民医院外科,上海200060

出　　处：《中国内镜杂志》2004年第10期63-65,共3页China Journal of Endoscopy

摘　　要：目的探讨利用鼻胆管引流对胆道疾病的临床意义。方法总结了297例(297/307)成功行ERCP中的107例采用鼻胆管引流病例的经验。结果106例引流成功,鼻胆管胆汁每日引流量0～1 080 ml,平均454 ml/d。有效率为95.3%,满意率为78.6%。鼻胆管滑脱1例,电解质紊乱3 例,鼻胆管完全堵塞2例。结论内镜鼻胆管引流治疗胆道疾病,具有安全、有效、方法较简单、费用少及并发症少等优点,还可以与进腹手术、ERBD或EMBD以及腹腔镜手术(LC)配合进行治疗,值得在基层医院推广。Objective: To study the value of endoscopic nasobiliary drainage in the therapy of biliary diseases. Methods: The experiences of 107 clinical cases of endoscopic nasobiliary drainage were summaried. Results: 107 cases made ENBD, 106 cases were succeed. Bile drainage quantity in 24 hours ranged from 0 to 1080ml. Average dairly drainage quantity was 484ml. The effective ratio of drainage was 95.3%. The satisfaction ratio of drainage was 78.6%. Drainage tube was slip 1 case. Dielectric isorder was 3 cases. Drainage tube was obstructed completely 2 cases. Conclusion: The practicability and importance of endoscopic nasobiliary drainage is emphasised, and it is generalized.

关 键 词：胆道疾病 内镜 鼻胆管引流 

分 类 号：R575.7[医药卫生—消化系统]