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目的探讨内镜在急性梗阻性化脓性胆管炎治疗中应用的价值。方法回顾性分析182例急性梗阻性化脓性胆管炎患者治疗的临床资料。结果182例患者均经内镜治疗成功,在应用乳头括约肌切开术(EST)后,采用胆道内支架引流(ERBD)治疗25例,鼻胆管引流(ENBD)治疗140例,胆道金属支架引流(EMBD)治疗17例。治疗后所有病例临床症状均明显改善。结论急性梗阻性化脓性胆管炎的内镜治疗是一种快速、安全、有效和经济的治疗手段。
Objective To investigate the value of endoscopy in the treatment of acute obstructive suppurative cholangitis. Methods The clinical data of 182 patients with acute obstructive suppurative cholangitis were retrospectively analyzed. Results All 182 patients were successfully treated by endoscopic treatment. 25 cases were treated with biliary stent drainage (ERBD), 140 cases were treated with nasal biliary drainage (ENBD), and biliary metal stent drainage EMBD) treatment of 17 cases. After treatment, clinical symptoms were significantly improved in all cases. Conclusion Endoscopic treatment of acute obstructive suppurative cholangitis is a fast, safe, effective and economical treatment.