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23例梗阻性黄疸患者进行了鼻胆引流术(ENBD),其中胆总管结石8例,胆总管末端及乳头部狭窄4例,胆管、壶腹和胰头部癌11例,4例并发急性化脓性胆管炎.结果.21例内镜下插管成功,成功率力91.3%.21中除2例术后鼻胆引流管堵塞外,其余病例均获得较好的疗效,有效率为82.6%.血清总胆红素、ALP刊r-GT治疗后明显下降.结论:ENBD是一种简便有效的胆道引流手段,临床上可以广泛地应用于各种原因所致的梗阻性黄疸.
Twenty-three patients with obstructive jaundice underwent nasobiliary drainage (ENBD), including choledocholithiasis in 8 cases, end of common bile duct and stenosis in 4 cases, bile duct, ampulla and pancreatic head and neck cancer in 11 cases, and 4 cases complicated with acute suppurative .Results 21 cases of endoscopic intubation success, the success rate of 91.3% .21 in addition to 2 cases of postoperative nasal drainage tube plug, the rest of the cases have achieved good results, the effective rate was 82.6%. Serum total bilirubin, ALP published r-GT significantly decreased after treatment.Conclusion: ENBD is a simple and effective means of biliary drainage, clinically applicable to a wide range of causes of obstructive jaundice.