CAJ | 학술논문

目的评价经内镜下鼻胆管引流术(ENBD)治疗腹腔镜术后出现胆汁漏的疗效.方法确认腹腔镜胆系手术后并发胆汁漏患者22例,分别应用ENBD和开腹探查手术,对两种治疗方法进行比较.结果与开腹手术相比,ENBD治疗组在术后排气时间和术后住院天数上均明显减少,83%病例于术后3d体温下降至正常,腹痛等临床症状消失.结论经内镜下鼻胆管引流术可通过微创方式引流胆汁,减少进一步腹腔感染,促使患者早日康复,是治疗腹腔镜术后胆汁漏的首选方法.
목적평개경내경하비담관인류술(ENBD)치료복강경술후출현담즙루적료효.방법학인복강경담계수술후병발담즙루환자22례,분별응용ENBD화개복탐사수술,대량충치료방법진행비교.결과여개복수술상비,ENBD치료조재술후배기시간화술후주원천수상균명현감소,83%병례우술후3d체온하강지정상,복통등림상증상소실.결론경내경하비담관인류술가통과미창방식인류담즙,감소진일보복강감염,촉사환자조일강복,시치료복강경술후담즙루적수선방법.
Objective In order to evaluate the effect of endoscopic nasobilliary duct drainage in the patients of postoperative bile fistulas. Methods 22 patients of bile fistulas after laparoscopic cholecystectomy were dvided into two groups. The treatment group were treated by endoscopic nasobilliary duct drainage while the control group were treated by open operation. Results The ENBD treatment group in the postoperative exhaust time and postoperative hospital stay were significantly reduced, 83% patients temperature dropped to normal, abdominal pain and other clinical symptoms disappeared in 3 days after operation. Conclusion As a minimally invasive way, endoscopic nasobiliary drainage which can reduce abdominal infection, promote early recovery of patients, is the preferred method of treatment of bile leakage after laparoscopic surgery.