内镜治疗重症急性胆管炎60例报告

目的 探讨重症急性胆管炎内镜治疗的作用。方法 对60例发病年龄较大，伴发病较多，手术麻醉风险较大的急性胆管炎病人行急诊内镜治疗，包括逆行胰胆管造影（ERCP），鼻胆管引流（ENBD），乳头括约肌切开（EST）及取石术。结果 除3例失败外，余均获成功，其成功率95％，对胆管炎治疗的有效率为1005，其中24例经内镜治愈（占40％），余33例经内镜胆管引流后择期手术，无与操作相关的并发症。结论 急性化脓性胆管炎应选取急诊内镜胆道引流或加上乳头括约肌切开术（EST），是一种安全、操作时间短、无需麻醉、疗效高的处理方法。

The endoscopic treatment for severe acute cholangitis: attaching 60 cases

Objective To study the role of endoscopic treatment for severe acute cholangitis. Methods 60 patients with acute cholangitis who had more accompanying illness and large operative risk underwent emergency endoscopic treatment, including endoscopic retrograde cholangio pancreatography(ERCP),ENBD,endoscopic sphinctero-papillotomy(EST). Results Except 3 cases failed, the others were satisfied.The success rate was 95%,the efficiency rate was 100%. 24 cases were cured, the others underwent elective operation after bile duct drainage. Conclusion The endoscopic treatment is a safe, effective, short operative-time procedure without anesthesia suitable for severe acute cholangitis.