摘要
目的探讨内镜下鼻胆管引流术(ENBD)在胆总管探查一期缝合中的应用价值。方法回顾笔者医院2006年5月～2009年10月对28例肝外胆管结石的病人在先期预置鼻胆外引流管后,择期行胆总管探查并一期缝合的临床资料并加以分析。结果全组病例在先期预置鼻胆外引流管下,择期顺利完成胆总管探查取石术及胆总管一期缝合,无胆汁渗漏、腹腔感染及胆道狭窄等并发症。结论 ENBD很大程度地拓展了胆总管一期缝合的适用范围,有效地减少了并发症的发生,在临床实践中取得了良好的疗效,是胆总管一期缝合值得推荐的方式。
Objective To investigate the effect of endoscopic nasobiliary drainage （ENBD） in primary closure following choledochostomy in patients with choledocbolith. Methods The clinical data of 28 patients with choledocholith treated in our hospital from May 2006 to October 2009 were analyzed. These cases were pre - placed ENBD before primary closure following exploration of common bile duct. Results After being pre - placed ENBD, 28 cases with choledocholith were underwent biliary tract exploration and primary closure in operation. There was no patient suffering from severe complications such as bile leakage, peritoneal abscesses and biliary stricture. All cases were discharged healthy. Conclusion Under the biliary system being drained by ENBD, the safety of primary closure following choledochostomy in patients with choledocholith is ensured, and we believe that this procedure should be an effective method in clinic.
出处
《医学研究杂志》
2010年第9期81-83,共3页
Journal of Medical Research
