摘要
目的比较两种引流方法对胆管结石逆行胰胆管造影术(ERCP)后并发症的预防作用。方法将263例接受ERCP治疗的胆管结石病人随机分成3组,A组88例采用经内镜鼻胆管引流术(ENBD)治疗,B组86例采用经内镜胆管内引流术(ERBD)治疗,C组89例采用常规药物治疗。记录3组病人ERCP后胰腺炎、高淀粉酶血症及胆管感染发生率并进行比较。结果 A组ERCP后胰腺炎发生率为1.1%,B组为1.2%,C组为11.2%;A组高淀粉酶血症发生率为8.0%,B组为9.3%,C组为22.5%;A组胆管感染发生率为1.1%,B组为1.2%,C组为9.0%。A、B组以上3种并发症发生率与C组比较差异有显著性(χ2=5.491～7.744,P<0.05)。3组均无穿孔、出血、死亡等并发症。结论 ENBD或ERBD可减少胆管结石ERCP后并发症的发生率,且作用相近。
Objective To compare the effectiveness of ENBD and ERBD in the prevention of post ERCP complications in patients with common bile duct stones. Methods This study consisted of 263 patients with common duct stones, who were randomized to groups A （ENBD group,n：88）, group B （ERBD group,n=86）, and group C （routine drug treatment group,n：89）. The incidence of post-ERCP pancreatitis, hyperamylasemia and biiiary tract infection was recorded and compared among the three groups. Results The incidence of post-ERCP pancreatitis in groups A, B and C was 1. 1%, 1.2% and 11. 2%, that of hy peramylasemia was 8.0%, 9.3%and 22.5% ; and that of biliary tract infection was 1. 1%, 1.2%and 9.0%, respectively. The differences of above-mentioned three complications between groups A/B and C was significant （χ2 =5. 491 7. 744,P〈0.05）. No perforation, hemorrhage or death was noted in the three groups. Conclusion ENBD and ERBD show similar effect on reducing the occurrence of post-ERCP complications in patients with common bile duct stones.
出处
《青岛大学医学院学报》
CAS
2012年第3期264-265,268,共3页
Acta Academiae Medicinae Qingdao Universitatis
关键词
引流术
胆总管结石
并发症
drainage
choledocholithiasis
complications
