摘要
[目的]观察内镜介入配合鼻胆管注入中药溶石治疗胆总管较大结石的疗效。[方法]依据体外碎石结果,自拟溶石方,收集因无法行内镜下胆总管取石的10例患者,行内镜下鼻胆管引流术,通过鼻胆管注入溶石中药20-50 ml,封闭鼻胆管末端1-2 h后恢复正常引流,2次/d,5-7 d后复查B超及内镜下逆行胰胆管造影术（ER-CP）。[结果]10例患者中1例结石完全溶解,复查B超胆总管结石消失;9例结石明显变小或裂解。ERCP除1例结石消失直接拔除鼻胆管外,9例复查ERCP检查发现结石均明显变小,其中2例铸形结石分散、裂解成多块。该9例直接行网篮取石均1次成功,胆总管结石全部取净。[结论]鼻胆管注入中药溶石治疗胆总管较大结石安全、可靠,疗效显著。
[Objective] To evaluate the clinical efficiency of dissolving huge common bile duct stones（CBDS） with injecting decoction through endoscopic nasobiliary drainage（ENBD）. [Methads]According to the result of dissolving CBDS out of body, draft a prescription. Ten cases with huge CBDS which couldn＇t be removed by endoscopic treatment were collected. ENBD was placed, and decoction was injected through ENBD twice a day. B ultrasonic and endoscopic retrograde cholangiopancreatography（ERCP） were examined 5 - 7days later. [Results] One case with CBDS was completely dissolved approved by ultrasonic. The patient＇s ENBD was removed immediately. CBDS of the other nine cases were split and smaller. These stones were all removed easily by endoscopic treatment. [Conclusion] it is safety, credible and effective to dissolve huge common bile duct stones with injecting decoction through ENBD.
出处
《中国中西医结合消化杂志》
CAS
2007年第4期234-236,共3页
Chinese Journal of Integrated Traditional and Western Medicine on Digestion
关键词
胆总管结石
鼻胆管引流
中药溶石
common bile duct stones
endoscopic nasobiliary drainage
decoction
dissolve
