内镜下胆道内支架置入引流治疗囊型肝包虫病术后胆漏的疗效

Endoscopic retrogradebiliary drainage to treat postoperative bile leakage in cystic hepatic echinococcosis

目的总结内镜下胆道内支架置入引流(endoscopic retrograde biliary drainage,ERBD)治疗囊型肝包虫病术后胆漏的效果。方法回顾性分析2012年1月至2016年6月锡林郭勒盟医院普外科收治的30例囊型肝包虫病内囊摘除残腔引流术后胆漏病人行内镜逆行胰胆管造影(endoscopic retrograde cholangio pancreatography,ERCP)、ERBD的临床资料。结果 30例均明确胆漏的部位及性质,ERBD术后7~28 d(平均14 d)拔除残腔引流管,所有病人均全部治愈出院。所有病例随访1~2年,无胆管炎和胆道狭窄的发生,未见支架移位和堵塞。结论 ERBD治疗囊型肝包虫病人术后胆漏长期带管是安全有效的。

Objective To summarize the efficacy of endoscopic retrograde biliary drainage（ERBD）for biliary leakage after hepatic hydatid cyst removal.Methods The clinical data collected from 30 patients following ERCP and ERBD,of all hepatic cystic echinococcosis treated with residual cavity drainage tube were analyzed retrospectively from January 2012 to June 2016.Results The location and nature of the bile leakage in 30 patients were verified by ERCP and ERBD was performed.The residual cavity drainage tube was removed 7-28 days（14 days on average）after ERBD.All patients were cured by ERBD.Conclusions ERBD is effective in the management of biliary leakage after hepatic hydatid cyst removal.