【摘要】 目的 探讨经内镜逆行胰胆管造影术(ERCP)在外科胆道梗阻性疾病治疗中的价值。 方法 应用ERCP术治疗良、恶性胆道梗阻性疾病173例。并对其临床资料进行回顾分析。 结果 行ERCP术治疗胆道梗阻性疾病173例，其中2例插镜失败，1例引流无效，其余均获得良好的临床治疗效果，并无严重并发症。ERCP术后胰腺炎发生率8.67%，病死率0.58%。 结论 ERCP术在外科治疗胆道梗阻性疾病中具有创伤小、痛苦少、恢复快、退黄效果好等特点，是有效解除胆道梗阻，争取进一步择期手术时机的极好方法。与传统的开腹手术相结合，能有效降低术后并发症，提高术后安全性。

    关键词 经内镜逆行胰胆管造影术 胆道梗阻

    ERCP treatment for173patients with bile duct obstruction

    Yao Jirong，Ji Ming，Han Qun，et al.

    Department of Surgery，Antu Hospital of Shanghai，Shanghai200093.

    【Abstract】 Objective To discuss the value of ERCP in treatment for patients with bile duct obstruction.Methods We reviewed clinical data of173patients with bile duct obstruction who received ERCP treatment.Results Among173cases treated by ERCP endoscopic bile duct drainage，2cases was failure of intubation，and1case was inefficiency in drainage and the others were satisfactory with clinical outcome without severe complications.The rate of pancreatitis after ERCP was8.67% ......