[摘要] 目的 观察内镜下鼻胆管引流术在预防治疗性ERCP术后胰腺炎及高淀粉酶血症中的疗效。 方法 分析2013年5月～2015年5月120例胆总管结石的ERCP患者的临床资料，其中60例在内镜治疗后行鼻胆管引流，60例患者未行鼻胆管引流。 结果 鼻胆管组术后有1例(1.7%)发生轻症胰腺炎，12例(20.0%)发生高淀粉酶血症；对照组ERCP术后有8例(13.3%)发生胰腺炎，30例(50.0%)发生高淀粉酶血症；鼻胆管组ERCP术后急性胰腺炎、高淀粉酶血症发生率明显低于对照组。 结论 ERCP术后急性胰腺炎及高淀粉酶血症的发生经内镜鼻胆管引流能够起到有效地预防。

    [关键词] 鼻胆管引流；ERCP；胰腺炎；高淀粉酶血症

    [中图分类号] R657.5 [文献标识码] B [文章编号] 1673-9701(2015)35-0081-04

    [Abstract] Objective To observe efficacy of endoscopic biliary drainage(ENBD) in the preventionand treatment of post-ERCP pancreatitis and hyperamylasemia. Methods A total of 120 patients with choledocholithiasis who underwent ERCP from May 2013 to May 2015 were included in the study. ENBD was performed in 60 patients(test group) ......