摘要
目的探讨经内镜胆管引流术对各种良恶性胆管狭窄的治疗效果。方法67例良恶性胆管狭窄病人先行内镜逆行胰胆管造影(ERCP)检查,确定胆管狭窄病变部位和性质后,再决定使用以下三种治疗中的一种:内镜下鼻胆管引流(ENBD)、内镜下塑料胆道支架引流(ERBD)和内镜下金属胆道支架引流(EMBE)。结果针对良性胆管狭窄行ENBD 21例,主要见于胆总管结石;针对恶性胆管狭窄行ERBD 29例,行EMBE 17例,主要见于胰头癌、胆管癌、壶腹癌、原发性肝癌及肝门及肝内转移压迫胆管,所有病例均在引流后总胆红素及直接胆红素明显下降。结论经内镜下胆管引流术的应用愈来愈广泛,其操作安全而有效,特别是对各种良恶性病变引起的胆管狭窄起了关键性的治疗作用。
Objective To investigate the therapeutic effect on benign and malignant biliary stenosis with endoscopic biliary drainage. Methods 67 patients with benign and malignant biliary stenosis were firstly examined with ERCP （Endoscopic Retrograde Cholangiopancreatography） to make a definite diagnosis of the location and character of the biliary stenosis, and then appropriate biliary drainage was chosen among ENBD （Endoscopic Nasobiliary Drainage）, ERBD （Endoscopic Retrograde biliary drainage）, EMBE（Endoscopic Metal Biliary Endoprothesis）. Results 21 cases with benign biliary stenosis were drainaged ENBD. The main cause was common bile duct stones. 46 cases with malignant biliary stenosis were drainaged ERBD（29 cases） and EMBE（17 cases） respectively. The main cause was carcinoma of head of pancreas, cholangiocarcinoma, ampullarcarcinoma, primary hepatic carcinoma and metastatic hepatic cancer extruding biliary duct inside the liver. The total and direct bilirubin of all the patients dropped significantly after the above three kinds of endoscopic biliary drainage, Conclusion Endoscopic biliary drainage had definite therapeutic effect for various benign and malignant biliary stenosis. Its clinical applicability became more widespread due to its safety and efficient results.
出处
《实用临床医药杂志》
CAS
2006年第1期22-24,共3页
Journal of Clinical Medicine in Practice
关键词
胆管狭窄
内镜
引流
鼻胆管
支架
biliary stenosis
endoscopy
drainage
nasobiliary tube
stent
