内镜治疗急性梗阻性化脓性胆管炎的疗效评价  

Evaluation on Treatment of Patients with Acute Obstructive Suppurative Cholangitis under Ergency Endoscopy

作　　者：张健[1] 

机构地区：[1]淮南市第一人民医院普外科,安徽省淮南232007

出　　处：《中国基层医药》2012年第22期3381-3382,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨内镜治疗急性梗阻性化脓性胆管炎（AOSC）的效果、体会并与常规手术治疗进行疗效比较。方法研究组36例AOSC患者先行内镜下逆行胰胆管造影术（ERCP），再行EST取石和／或经内镜鼻胆管引流术（ENBD）；一般状况差或合并慢性疾病及肿瘤者，可先行ENBD缓解症状，再二次取石或行ERBD。监测术后血液生化指标及症状体征，并与对照手术组比较。结果研究组患者内镜治疗疗效好，其腹痛缓解时间、并发症发病率、住院时间、治疗总费用与对照手术组差异均有统计学意义（均P〈0．05）。结论内镜治疗操作简单、创伤小、安全性好，适合AOSC患者临床治疗。Objective To investigate the efficacy of emergency endoscopy for the treatment of patients with acute obstructive suppurative cholangitis （AOSC） and the difference compared with therapy of routine operation. Methods After ERCP were performed on 36 patients with AOSC, EST and/or ENBD were executed subsequently. To those asthenic patients complicated with diseases or tumors, ENBD was used to alleviate symptoms and then decided whether to take stones secondly or drain by ERBD. Biochemical indicators, physical sysmtoms and signs were moni- tored so as to compare with those of 32 patients with AOSC treated by routine operation. Results The clinical effect was satisfactory, and the relief of pain, incidence of complicated diseases, hospital stay, level of serum TBIL after treat- ment had significant difference between those in study group and in control group （ all P 〈 0.05 ）. Conclusion En- doscopic therapy is safe, easy and minimally invasive, which is suitable for the patients with AOSC.

关 键 词：胆管炎 梗阻性 化脓性 胰胆管造影术 内窥镜逆行 

分 类 号：R657.4[医药卫生—外科学]