CAJ | 학술논문

目的明确经内镜逆行胰胆管造影术(ERCP)取石术后留置鼻胆管能否降低术后并发症发生率.方法回顾性分析697例因胆总管结石行ERCP治疗的患者资料,根据是否行鼻胆管引流分为鼻胆管组(538例)及对照组(159例),总结术后两组患者胰腺炎、胆管炎及出血的发生率.结果鼻胆管组与对照组之间,术后胰腺炎(4.3％比6.3％,P ＞0.05)及出血(1.3％比1.9％,P＞0.05)发生率无统计学差异,术后胆管炎发生率明显降低(1.3％比3.8％,P＜0.05).结论 ERCP取石术后留置鼻胆管可以降低胆管炎的发生率.
목적 명학경내경역행이담관조영술(ERCP)취석술후류치비담관능부강저술후병발증발생솔.방법 회고성분석697례인담총관결석행ERCP치료적환자자료,근거시부행비담관인류분위비담관조(538례)급대조조(159례),총결술후량조환자이선염、담관염급출혈적발생솔.결과 비담관조여대조조지간,술후이선염(4.3％비6.3％,P ＞0.05)급출혈(1.3％비1.9％,P＞0.05)발생솔무통계학차이,술후담관염발생솔명현강저(1.3％비3.8％,P＜0.05).결론 ERCP취석술후류치비담관가이강저담관염적발생솔.
Objective To investigate whether endoscopic nasobiliary drainage (ENBD) after endoscopic stone extraction could reduce post-operative complications.Methods Retrospective analysis of 697 patients with extrahepatic duct stones undergoing ERCP treatment was pedormed.They were assigned to ENBD group (n =538) and control group (n =159).Post-operative complications including pancreatitis,cholangitis and bleeding were observed and compared.Results There were no significant differences in incidence of pancreatitis and bleeding between 2 groups.Incidence of cholangitis in ENBD group was significantly lower than that in control group (1.3％ vs.3.8％,P ＜ 0.05).Conclusion ENBD after endoscopic stone extraction could reduce the incidence of postoperative cholangitis.