内窥镜引流胆道梗阻33例临床应用  

Endoscopic Biliary Drainage for Biliary Obstruction

作　　者：王琦[1] 孙向平 王佐正[1] 马建国[1] 

机构地区：[1]宁夏医学院附属医院肝胆外科,银川750004 [2]宁夏永宁县医院外科,永宁750100

出　　处：《宁夏医学院学报》2003年第2期100-102,共3页Journal of Ningxia Medical College

摘　　要：目的 :评价胆道梗阻经内窥镜引流的治疗效果。方法 :回顾分析 2 0 0 0年 1月至 2 0 0 2年 12月使用OlympusTJF - 2 4 0型内镜对 33例胆道梗阻病人进行内镜引流的效果。结果 :33例中行内镜下鼻胆管引流术 (ENBD) 2 5例 ,内镜下胆道支架内引流术 (ERBD) 8例 ,32例得到成功引流 ,失败 1例。结论 :内镜引流治疗胆道梗阻是安全有效的治疗方法。与传统手术相比 ,具有微创治疗 ,无需麻醉 ,低并发症的优点。Objective: To evaluate the curative effectiveness of endoscopic biliary drainage for patients with biliary obstruction. Methods: The experience of biliary drainage with Olympus TJF-240 duodenoscope for 33 cases with biliary obstruction from January 2000 to December 2002 was reviewed retrospectively. Results: Of 33 cases with biliary obstruction, endoscopic naso-biliary drainage (ENBD) and endoscopic retrograde biliary drainage (ERBD) were performed in 25 cases and 8 cases respectively, 32 cases received successful drainage under endoscopy and 1 case failed. Conclusions: The safety and effectiveness of endoscopic biliary drainage in biliary obstruction is definite. Compared with conventional operation, endoscopic biliary drainage is of advantages of minimal (trauma) invasion, less-complication and needlessness of anesthesia.

关 键 词：内窥镜 引流 胆道梗阻 临床应用 治疗 鼻胆管引流术 胆道支架内引流术 

分 类 号：R657.4[医药卫生—外科学]