摘要
目的明确经内镜逆行胰胆管造影术（ERCP）取石术后留置鼻胆管能否降低术后并发症发生率。方法回顾性分析697例因胆总管结石行ERCP治疗的患者资料，根据是否行鼻胆管引流分为鼻胆管组（538例）及对照组（159例），总结术后两组患者胰腺炎、胆管炎及出血的发生率。结果鼻胆管组与对照组之间，术后胰腺炎（4．3％比6．3％，P〉0．05）及出血（1．3％比1．9％，P〉0．05）发生率无统计学差异，术后胆管炎发生率明显降低（1．3％比3．8％，P〈0．05）。结论ERCP取石术后留置鼻胆管可以降低胆管炎的发生率。
Objective To investigate whether endoscopic nasobiliary drainage （ENBD） after endo- scopic stone extraction could reduce post-operative complications. Methods Retrospective analysis of 697 patients with extrahepatic duct stones undergoing ERCP treatment was performed. They were assigned to ENBD group （ n = 538） and control group （ n = 159）. Post-operative complications including pancreatitis, cholangitis and bleeding were observed and compared. Results There were no significant differences in incidence of pancreatitis and bleeding between 2 groups. Incidence of cholangitis in ENBD group was signifi- cantly lower than that in control group （ 1.3% vs. 3.8%, P 〈 0.05 ）. Conclusion ENBD after endoscopic stone extraction could reduce the incidence of postoperative cholangitis.
出处
《中华消化内镜杂志》
2013年第10期582-584,共3页
Chinese Journal of Digestive Endoscopy
关键词
胆总管结石
手术后并发症
胰胆管造影术
内窥镜逆行
经内镜鼻胆管引流术
Choledocholithiasis
Postoperative complications
Cholangiopancreatography, endoscopic retrograde
Endoscopic nasobiliary drainage
