The bile characters after endoscopic intubation of nasal biliary pancreatic drainage tube and the value of drainage tube irrigation
10.3969/j.issn.1006-5725.2018.03.018
- VernacularTitle:经内镜置入一体式胰胆引流管术后胆汁性状的观察及引流管冲洗
- Author:
Xiuzhen GAO
1
;
Sheng WANG
;
Cheng ZHANG
;
Li LI
Author Information
1. 大连医科大学附属大连市中心医院消化内科 辽宁大连116033
- Keywords:
drainage tube;
endoscopic retrograde cholangiopancreatography;
bile character;
drain-age tube irrigation
- From:
The Journal of Practical Medicine
2018;34(3):416-418,423
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the bile characters and the value of drainage tube irrigation after endoscopic implantation of nasal biliary pancreatic drainage tube. Methods The clinical data of 331 patients having undergone intubation of integrated nasal biliary pancreatic drainage tube after remedial ERCP from Janu-ary 2012 to October 2017 were retrospectively analyzed. The patients were divided into the irrigation group and non-irrigation group. The bile characters and positive rate of bile bacterial culture were recorded. Results For all the 331 patients,the nasal biliary pancreatic drainage tubes were successfully intubated. The normal rate of bile characters and positive rate of bacterial culture were significantly different between the two groups on day 1 and 3 after operation(P < 0.05). There was no significant difference between them on the first day after opera-tion(P > 0.05),but the difference between the groups was statistically significant on day 3 after operation(P <0.05). The differences in the postoperative drainage tube blockage rate,prolapse rate and bleeding rate were sta-tistically significant between the two groups from day 3 to 7 after operation(P < 0.05). Conclusions The bile characters after endoscopic intubation of nasal biliary pancreatic drainage tube can indicate the biliary tract infec-tion,bleeding,bile drainage tube blockage and prolapse of bile drainage tube. Drainage tube irrigation can be used to control biliary tract infection and bleeding,and reduce the blockage and prolapse rate of postoperative drainage tube.
