鼻胆管在胆总管结石内镜逆行胰胆管造影术取石后复发中的预防作用  

Use of nasobiliary tube for prevention of stone recurrence after endoscopic retrograde cholangiopancreatography for common bile duct stones

作　　者：刘驰[1] 宋展[1] 

机构地区：[1]南阳市中心医院普外科,河南省南阳市473000

出　　处：《世界华人消化杂志》2014年第34期5350-5353,共4页World Chinese Journal of Digestology

摘　　要：目的:分析鼻胆管在胆总管结石内镜逆行胰胆管造影术(endoscopic retrograde cholangiopancreatography,ERCP)取石后复发中的预防作用.方法:选取2011-02/2013-06在南阳市中心医院接受ERCP的92例患者,随机分为鼻胆管组和对照组,比较两组ERCP结果、并发症及复发率.结果:两组患者的性别、年龄、结石数量、结石大小等ERCP结果资料差异不明显,无统计学意义(P>0.05).鼻胆管组的胆管炎发生率为2.2%,胰腺炎发生率为6.5%,高淀粉酶血症发生率为13.0%,复发率为10.9%;对照组的胆管炎发生率为6.5%,胰腺炎发生率为23.9%,高淀粉酶血症发生率为19.6%,复发率为34.8%,以上差异均有统计学意义(P<0.05).结论:鼻胆管能够有效降低胆总管结石ERCP取石后的复发率.AIM： To assess the preventive effect of nasobiliary tube usage on stone recurrence after endoscopic retrograde cholangiopancreatography（ERCP） for common bile duct stones. METHODS： Ninety-two patients with common bile duct stones who underwent ERCP at our hospital from February 2011 to June 2013 were randomly divided into two groups： a nasobiliary tube group and a control group. ERCP complications and recurrence were compared between the two groups.RESULTS： The patient’s gender, age, number of stones, and stone size were not significantly different between the two group（P 〉 0.05）. The rates of cholangitis（2.2% vs 6.5%, P 〈 0.05）, pancreatitis（6.5% vs 23.9%, P 〈 0.05）, hyperamylasemia（13.0% vs 19.6%, P 〈 0.05）, and recurrence（10.9% vs 34.8%, P 〈 0.05） were significantly lower in the nasobiliary tube group than in the control group.CONCLUSION： Nasobiliary tube use can effectively reduce stone recurrence after ERCP for common bile duct stones.

关 键 词：鼻胆管 胆总管结石 内镜逆行胰胆管造影术 复发 预防作用 

分 类 号：R657.4[医药卫生—外科学]