改良鼻胆管负压引流在内镜下逆行胰胆管造影术术后的应用  

Effect of Modified Nasobiliary Negative Pressure Drainage after Endoscopic Retrograde Cholangiopancreatography

作　　者：邵佳亮[1] 周小娟[1] SHAO Jia-liang;ZHOU Xiao-juan(Department of Gastroenterology,Gaoyou People’s Hospital,Gaoyou,Jiangsu,225600,China)

机构地区：[1]高邮市人民医院消化内科,江苏高邮225600

出　　处：《黑龙江医学》2023年第2期157-159,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨内镜下逆行胰胆管造影术(endoscopic retrograde cholangiopancreatography,ERCP)术后使用负压引流并剪短鼻胆管外露部分对预防ERCP术后并发症及引流效果的观察。方法:选取2017年1月—2020年1月高邮市人民医院收治的80例ERCP术后行鼻胆管引流患者作为研究对象,患者于术后随机分为两组,对照组38例,观察组42例。对照组常规使用抗反流引流袋连接鼻胆管末端利用虹吸原理进行引流,观察组将多余鼻胆管剪短100 mm后再采用负压圆盘式引流袋连接鼻胆管末端进行负压引流。结果:观察组在术后胰腺炎、胆管炎、术后胆汁引流量、腹痛缓解时间、血清总胆红素以及堵管和意外拔管方面比较,差异有统计学意义(P<0.05)。结论:鼻胆管置入术后给予负压圆盘式引流袋并剪短鼻胆管外露部分较常规引流方式更加简便、有效、安全。Objective:To investigate the effect of using negative pressure drainage and cutting short the exposed part of the nasobiliary duct after endoscopic retrograde cholangiopancreatography(ERCP)on the prevention of post-ERCP complications and drainage.Methods:80 patients admitted to the hospital with nasobiliary drainage after ERCP from January 2017 to January 2020 were selected and randomly divided into 38 cases in the control group and 42 cases in the observation group after surgery.The control group was routinely drained using an anti-reflux drainage bag connected to the end of the nasobiliary duct using the siphoning principle.In the observation group,the excess nasobiliary duct was cut short by 100 mm and then a negative pressure disc drainage bag was used to connect the end of the nasobiliary duct for negative pressure drainage.Results:There were statistically significant differences in the ratio of postoperative pancreatitis,biliary ductitis,postoperative bile drainage,time to abdominal pain relief,serum total bilirubin,and blockage and accidental extubation rates between the two groups(P<0.05).Conclusion:After nasobiliary tube placement,it is easier,more effective and safer to give a negative pressure disc drainage bag and cut short the exposed part of the nasobiliary tube than the conventional drainage method.

关 键 词：鼻胆管 内镜下逆行胰胆管造影术 负压 

分 类 号：R575.7[医药卫生—消化系统]