肝胆胰外科杂志2013，Vol.25Issue(4)：282-286,5.
内镜下胆管引流术治疗恶性胆道梗阻
Endoscopic biliary drainage for the treatment of malignant biliary obstruction
张燕宁 1黄晓俊 1金安琴 1王祥 1王伟 1刘子燕2
作者信息
- 1. 兰州大学第二医院消化科,兰州 730030
- 2. 兰州大学第二医院内镜中心,兰州 730030
- 折叠
摘要
Abstract
Objective To explore the clinical value and therapeutic effect of endoscopic nasobiliary drainage (ENBD),endoscopic retrograde biliary drainage (ERBD) and endoscopic metal biliary endoprosthesis (EMBE) via endoscopic retrograde cholangiopancreatography (ERCP) on malignant biliary obstruction.Methods One hundred and thirty-six patients with malignant biliary obstruction underwent ENBD,ERBD or EMBE according to the patients' conditions and the therapeutic effect,stent mean patency duration and mean survival time were observed.Results The successful rate of procedure was 95.4％.Within a week after endoscopic procedure,patients' liver function and clinical symptoms were significantly improved and drainage satisfaction rate was 91.0％.Post-drainage complication rate was 5.4％.The mean patency duration of ERBD and EMBE was (88.0 ± 21.9) d and (200.6 ± 46.6) d respectively,there was significant difference between them (P＜0.01).The mean survival time of ERBD and EMBE was (215.4 ± 111.3) d and (271.8 ± 100.8) d respectively,there was no significant difference between them (P＞0.05).Conclusion The measure of biliary stent insertion and ENBD via ERCP for malignant biliary obstruction is a safe and effective treatment.关键词
恶性胆道梗阻/内镜逆行胰胆管造影术/支架Key words
malignant biliary obstruction/ endoscopic retrograde cholangiopancreatography (ERCP)/ stent分类
医药卫生引用本文复制引用
张燕宁,黄晓俊,金安琴,王祥,王伟,刘子燕..内镜下胆管引流术治疗恶性胆道梗阻[J].肝胆胰外科杂志,2013,25(4):282-286,5.
