内镜下鼻胆管引流术治疗腔镜胆囊切除术后胆漏的疗效  

作　　者：费发明 周中成 陈静 王兢 沈亦钰 陈徐艰 钟征翔 

机构地区：[1]浙江省嘉兴市第二医院,314000

出　　处：《浙江临床医学》2021年第1期77-78,共2页Zhejiang Clinical Medical Journal

基　　金：浙江省嘉兴市科技项目(2016AY23055)。

摘　　要：目的探讨经内镜鼻胆管引流术(ENBD)治疗腹腔镜胆囊切除术(LC)后发生胆漏的疗效。方法回顾性分析26例LC术后胆漏行逆行性胰胆管造影术(ERCP)检查,经内镜鼻胆管引流术(ENBD)。结果26例ERCP检查,全部确定胆漏的性质,19例单纯性ENBD,7例行ENBD及彩超引导下放置经皮腹腔穿刺引流管,均治愈出院。结论ENBD可作为腔镜胆囊切除术后胆漏非手术治疗的选择。Objective To evaluate the efficacy of endoscopic nasobiliary drainage(ENBD)in the treatment of laparoscopic cholecystectomy(LC).Methods 26 cases of LC after bile leakage retrograde cholangiopancreatography(ERCP)examination,endoscopic nasobiliary drainage(ENBD)were retrospective analyzed.Results 26 cases of ERCP examination,all clear the nature of bile leakage,19 cases of simple ENBD,7 cases under the guidance of ENBD and color Doppler ultrasound guided drainage tube,were cured and discharged.Conclusion ENBD can be used as a non-surgical treatment of bile leakage after endoscopic cholecystectomy.

关 键 词：经内镜鼻胆管引流术 胆囊切除术 腹腔镜 胆漏 

分 类 号：R65[医药卫生—外科学]