早期内镜下治疗急性化脓性胆管炎26 例临床分析.doc

早期内镜下治疗急性化脓性胆管炎26例临床分析
高睿哲黄沛理
山西阳泉阳煤集团总医院消化内科山西 045000
[摘要] 目的:观察早期内镜下乳头括约肌切开及鼻胆引流术对急性化脓性胆管炎的治疗作用。方法:对26例急性化脓性胆管炎患者24小时内行ERCP后,采用ENBD或EST+ENBD。结果:26例患者全部成功完成ERCP,有24例在插管胆道减压引流后得到迅速缓解。结论:早期内镜下EST联合ENBD对急性化脓性胆管炎疗效显著,能迅速解除胆道梗阻,缓解症状。可以作为治疗急性化脓性胆管炎的首选方法。
[关键词] 急性化脓性胆管炎;早期;鼻胆引流术
Early endoscopic treatment for acute suppurative cholangitis : clinical analysis of 26 cases GAO Ruizhe HUANG Peili Shanxi Yangquan Yang Coal Group General Hospital Department of internal medicine Shanxi 045000
[Abstract] Objective To observe the effect of early endoscopic papilla sphincterotomy and nasobiliary drainage for acute suppurative cholangitis treatment effect. Methods 26 cases of acute suppurative cholangitis patients within 24 hours after ERCP, using ENBD or EST+ENBD. Results 26 cases were all pleted the ERCP, there were 24 cases in the intubation after biliary drainage for rapid remission. Conclusion early endoscopic bined with ENBD on acute suppurative cholangitis a significant effect, can rapidly relieve biliary obstruction, relieve symptoms. Can be used as a treatment for acute suppurative cholangitis preferred method.
[Key words] acute suppurative cholangitis; early; nasal biliary drainage
急性化脓性胆管炎是临床急危重症,大多起病急骤,临床经过凶险,死亡率高。早期内镜下微创治疗目前已经是该病的重要治疗方法。我科自2008年1月至2011年12月间住院的26急性化脓性胆管炎患者经早期内镜下胆管引流术治疗后,效果满意,现报告如下。
1 资料和方法
26例患者中男14例,女12例,年龄42-81岁,,其中60岁以上18例。该组病例均表现为发