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岭南现代临床外科 ›› 2010, Vol. 10 ›› Issue (01): 8-10.

• 论著 • 上一篇    下一篇

经内镜胆管引流术治疗梗阻性黄疸的临床意义 (附95例报告)

陈辉,李良庆   

  1. 福建医科大学附属第一医院
  • 通讯作者: 陈辉

Clinical significance of endoscopic biliary drainage in obstructive jaundice: Report of 95 cases

  • Received:2009-09-24 Online:2010-02-20 Published:2010-02-25

摘要: [摘要] 目的:评价内镜治疗梗阻性黄疸患者的临床意义。方法:回顾2003年10月-2008年11月95例胆道梗阻施行十二指肠镜下各种胆道引流术的临床资料。结果:91例引流成功,成功率95.8%(91/95),胆道梗阻症状得到缓解(腹痛缓解、黄疸减退、体温下降),ENBD、ERBD、EMBE疗效满意率分别为93.5% (58/62)、 93.5% (29/31) 和100% (2/2),恶性胆道阻梗者带瘤生存平均10.2月(3-20),生活质量提高。结论:经内镜引流治疗胆道阻梗,具有创伤小、痛苦少、恢复快、住院时间短及疗效确切等优点,是胆道梗阻的有效治疗方法,它既是胆道良性病变的有效治疗措施,又可延长恶性胆道阻梗者带瘤生存时间并提高生活质量。

关键词: 梗阻性黄疸, 内镜, 经内镜胆管引流术, obstructive jaundice , Endoscope , Endoscopic biliary drainage

Abstract: Objective To evaluate the clinical significance of endoscopic biliary drainage in treatment of obstructive jaundice.Methods: The clinical records of biliary drainages under duodenoscope in 95patients with biliary obstruction from October 2003 to November 2008 was reviewed retrospectively . Results :Drainage was successfully completed in 91patients,with a success rate of 95.8%(91/95).The patients were relieved of their symptoms of biliary obstruction(abdominal pain,jaundice and fever),and the effective rates of ENBD 、ERBD and EMBE were 93.5% (58/62)、 93.5% (29/31) and100% (2/2),respectively .The patients with malignant biliary obstruction survived for an average of 10.2 months(3 to 20).Conclusions : Endoscopic drainage for biliary obstruction has advantages of minimal invasion,rapid recovery,short hospital stay and apparent efficacy.Endoscopic biliary drainage is a safe and effective method for bile duct obstruction,It Can prolong the survival time and improve quality of life in patients with malignant biliary obstruction.

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