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经内镜胆管引流术治疗胆道梗阻

Endoscopic biliary drainage for bile duct obstruction
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摘要 目的 :评价胆道梗阻的内镜治疗效果。方法 :应用鼻胆管引流术 (ENBD)及胆道内支架置入术 (ERBD)进行胆道内、外引流。结果 :5 8例病人内镜下胆管引流 88例次 ,成功 84次 ,成功率 95 .5 % ,ENBD 37例次 ,ERBD 5 1例次 ,引流后黄疸均有减退 ,恶性胆道梗阻者带瘤生存平均 9.7月 (3~ 18月 ) ,生活质量较高。结论 :内镜下胆管引流是胆道梗阻的有效治疗方法 ,是急性梗阻性胆管炎、胆源性胰腺炎的有效治疗措施 。 Objective:To evaluate the efficacy of endoscopic biliary drainage in treatment of bile duct obstruction. Methods: 88 cases of endoscopic naso biliary drainage(ENBD) or endoscopic retrograde biliary drainage(ERBD) were performed in 58 patients with bile duct obstruction.Results:Endoscopic biliary drainage was succeeded in 84 cases ( 95.5%). Among them ,there were ENBD 37 cases, ERBD 47 cases. Jaundice diminished in all patients after operation.The patients with malignant biliary obstruction survived for an average of 9.7 months(3 to 18 months).Conclusion:Endoscopic biliary drainage is a safe and effective method for bile duct obstruction, acute obstructive suppurative cholangitis and acute biliary pancreatitis. It can prolong the survival time and improve quality of life in patients with malignant biliary obstruction.
出处 《西北国防医学杂志》 CAS 2002年第6期450-451,共2页 Medical Journal of National Defending Forces in Northwest China
关键词 经内镜胆管引流术 治疗 胆道梗阻 Bile duct obstruction Endoscope Endoscopic biliary drainage
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