CAJ | 학술논문

[目的]探讨鼻胆管引流术在内镜下乳头气囊扩张术后的应用价值.[方法]将93例行内镜下乳头气囊扩张术(EPBD)治疗后的胆总管结石患者分为两组,治疗组43例 EPBD 术后放置鼻胆引流管,对照组50例 EPBD 术后未放置鼻胆引流管,比较两组术后并发症的情况.[结果]93例无出血及穿孔等并发症,治疗组并发急性胰腺炎2例(4.7%),无一例胆道感染,对照组并发胆道感染6例(12%),并发急性胰腺炎4例(8%),两组对比有统计学差异( P <0.05).[结论]鼻胆引流术能显著减少 EPBD 后胆道感染及急性胰腺炎的发生率,宜术后常规放置.
[목적]탐토비담관인류술재내경하유두기낭확장술후적응용개치.[방법]장93례행내경하유두기낭확장술(EPBD)치료후적담총관결석환자분위량조,치료조43례 EPBD 술후방치비담인류관,대조조50례 EPBD 술후미방치비담인류관,비교량조술후병발증적정황.[결과]93례무출혈급천공등병발증,치료조병발급성이선염2례(4.7%),무일례담도감염,대조조병발담도감염6례(12%),병발급성이선염4례(8%),량조대비유통계학차이( P <0.05).[결론]비담인류술능현저감소 EPBD 후담도감염급급성이선염적발생솔,의술후상규방치.
Objective] To explore the application value of nasobiliary drainage after endoscopic papillary balloon dilatation(EPBD) .[Methods] A total of 93 patients with common bile duct stones treated with EPBD were divided into two groups .The treatment group( n = 43) was placed with nasobiliary drainage tube after the operation ,while the control group( n = 50) was not placed with nasobiliary drainage tube after the opera‐tion .The incidence of postoperative complications was compared between two groups .[Results] No hemor‐rhage and perforation occurred in 93 patients .In treatment group ,none had biliary infection ,and 2 patients (4 .7% ) were complicated with acute pancreatitis .In control group ,6 patients(12% ) were complicated with biliary infection ,and 4 patients(8% ) were complicated with acute pancreatitis .There was significant differ‐ence between two groups .[Conclusion] Nasobiliary drainage can markedly reduce the incidence of biliary infec‐tion and acute pancreatitis after EPBD ,and is suitable to be placed routinely after the operation .