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目的评价经内镜鼻胆管引流术（ENBD）治疗急性胆囊炎之腹腔镜胆囊切除术（LC）后胆漏的疗效。方法回顾性分析对急性胆囊炎行腹腔镜胆囊切除术后发生胆漏的8例患者经ENBD治疗的临床资料。结果8例胆漏的患者均治愈。其中胆囊管残端漏6例，胆总管漏1例，肝总管漏1例。确诊胆漏后均于24 h内行ENBD；1例患者有胆总管结石，行内镜下十二指肠乳头括约肌切开术（EST）并用取石网将结石取出后，再行ENBD。结论ENBD治疗LC术后胆漏患者，是一种安全且有效的方法，具有创伤小、并发症少等优点。
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临床研究
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更新时间：2017-05-15
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内镜鼻胆管引流治疗急性胆囊炎之腹腔镜胆囊切除术后胆漏的临床分析
Clinical analysis of endoscopic biliary drainage in the treatment of acute cholecystitis with bile leakage after laparoscopic cholecystectomy
微创医学 201712卷02期 页码：204-206
作者机构：1 解放军第285医院普通外科，河北省邯郸市056001；2 邯郸军分区第二干休所，河北省邯郸市056003
基金信息：
- 中文简介
- 英文简介
- 参考文献
ObjectiveTo evaluate the efficacy of endoscopic naso-biliarydrainage (ENBD) in the treatment of biliary leakage after laparoscopic cholecystectomy (LC) for acute cholecystitis. MethodsThe clinic data of 8 cases with biliary leakage after laparoscopic cholecystectomy (LC) for acute cholecystitis treated with ENBD were analyzed retrospectively. ResultsAll of the patients with biliary leakages were cured with ENBD successfully. Among them, there were 6 cases of cystic duct stump leaks, 1 case of common bile duct leak, 1 case of common hepatic duct leak. All of the cases were treated with ENBD after confirmed with biliary leakage within 24 hours; one patient with common bile duct stones were treated with endoscopic sphincterotomy and then were treated with ENBD. ConclusionEndoscopic naso-biliary drainage (ENBD) is a safe and effective method to treat biliary leakage after LC for acute cholecystitis, with benefits of minimally invasive, less applications, etc.
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