经内镜内外引流治疗胆道梗阻的效果分析

Effect analysis of the endoscopic internal and external drainage in the treatment of obstruction of bile duct

目的观察比较经内镜内外引流术治疗不同病因、不同性质胆道梗阻的远期疗效和并发症。方法总结2003-10～2007-12506例胆道梗阻施行十二指肠镜下各种胆道引流术的临床资料。结果506例中481例引流成功,成功率为95.1%,胆道梗阻症状得到缓解（黄疸减退、体温下降、疼痛缓解）。结论经内镜引流治疗胆道梗阻,具有创伤小、痛苦少、恢复快、住院时间短、疗效肯定等优点;注意引流部位的选择,可进一步提高经内镜胆道引流术的成功率。

Objective To observe and compare long curative effect and complications of the endoscopic internal and external drainage in the treatment of different lesions and different parts of obstruction of bile duct. Methods The date of 506 cases of obstruction of bile duct drained by the duodenoscope from Octomber 2003 to December 2007 were reviewed. Results Four hundred and eighty-one cases were successful in 506 and the successful rate was 95.1%. The symptoms of obstruction had remittence（jaundice abatment, pain relief and temperature descent）. Conclusion The endoscopic drainage for treating obstruction of bile duct has following merits： less trauma, less pain, quick recovery, short hospitalization time and good effect. Paying attention to selection of drain site can further improve the successful rate of endoscopic biliary drainage.