鼻胆管引流术在内镜下乳头气囊扩张治疗术后的应用价值

Application Value of Nasobiliary Drainage after Endoscopic Papillary Balloon Dilation

【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。

[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.