摘要
报告44例经内窥镜鼻胆道插管术(ENBC)方法及23例临床应用结果。44例插管均成功。23例随访病例包括良恶性胆道梗阻减压引流(ERBD)12例,胆管蛔虫残骸溶解冲洗治疗5例,胆道结石溶石治疗2例,胆道结石灌注冲洗治疗2例,胆道滴注药物止血1例,胆汁检查和培养1例。23例效果均满意,未发生并发症。本文还对ENBC时乳头肌切开问题进行了讨论,并将ERBD与经皮肝穿刺胆道引流(PTBD)进行了比较。
Transnasal endoscopical biliary catheterization was done successfully in 44 cases,23 cases with complete data were reported.These cases consisted of decompression and drainage of benign and malignant biliary obstruction (12 cases),dissolution and irrigation treatment of remnants of ascaris in the biliary tract (5 cases),dissolution of gallstone (2 cases),irrigation for biliary calculi (2 cases),hemos-tasis after endoscopic sphincterotomy (EST,1 case),and the examination and culture of the bile ( 1 case).The results were satisfactory without complication.Problems concerning EST was discussed,and endoscopic retrograde biliary drainage (ERBD) and percutaneous transhepatic biliary drainage (PTBD) were compared.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
1989年第5期344-346,共3页
Medical Journal of Chinese People's Liberation Army
关键词
内窥镜
胰胆管造影
插管术
Endoscope Cholangiopancreatography Transnasal biliary catheterization
