急性梗阻性化脓性胆管炎182例的内镜治疗  

Endoscopic treatment of 128 patients with acute obstructive suppurative cholangitis

作　　者：麻树人[1] 赵志峰[1] 张宁[1] 赵云峰[1] 高飞[1] 潘汝明[1] 杨琳[1] 宫照杰[1] 袁爱娇[1] 

机构地区：[1]沈阳沈阳军区总医院消化内镜中心,110016

出　　处：《解放军医学杂志》2006年第4期322-323,共2页Medical Journal of Chinese People's Liberation Army

摘　　要：目的探讨内镜在急性梗阻性化脓性胆管炎治疗中应用的价值。方法回顾性分析182例急性梗阻性化脓性胆管炎患者治疗的临床资料。结果182例患者均经内镜治疗成功,在应用乳头括约肌切开术(EST)后,采用胆道内支架引流(ERBD)治疗25例,鼻胆管引流(ENBD)治疗140例,胆道金属支架引流(EMBD)治疗17例。治疗后所有病例临床症状均明显改善。结论急性梗阻性化脓性胆管炎的内镜治疗是一种快速、安全、有效和经济的治疗手段。Objectie To evaluate the clinical value of endoscopy for the treatment of acute obstructive suppurative cholangitis. Metheds Data of 182 patients suffering from acute obstructive suppurative cholangitis, in whom endoscopic treatment was undertaken, were retrospectively analysed. Results All patients received endoscopic sphincterotomy （EST）. Among them, 25 patients underwent endoscopic retractor-biliary drainage （ERt3D）, 140 patiems received endoscopic naso-biliary drainage （ENBD）, and in 17 cases endoscopic metal retractor-biliary drainage （EMBD） was done. The treatment was successfully in all patients. The clinical findings were markedly improved after treatment in all of them. Conclusion Endoscopic treatment was a fast, safe, effective and economic method for the treatment of acute obstructive suppurative cholangitis.

关 键 词：胆管炎 胃肠内窥镜 回顾性研究 

分 类 号：R575.705[医药卫生—消化系统]