On the endoscopic treatment of obstructive cholangitis and Traditional Chinese Medicine Clinical.docVIP

 PAGE \* MERGEFORMAT 7 On the endoscopic treatment of obstructive cholangitis and Traditional Chinese Medicine Clinical Study: King Star, Li Jian, Kang Jianyuan, Guoshao move, Huang Ming [Keywords:] obstructive cholangitis, Chinese medicine, endoscopy Common cause of obstructive cholangitis is a stone, cancer, inflammation and benign stricture, if not timely and effective treatment, can quickly develop to the acute phase of obstructive suppurative cholangitis. I used the integrated treatment of endoscopic and traditional Chinese medicine, made some clinical efficacy, are reported below. 1 Materials and Methods 1.1 Case Selection All eligible cases must meet the following conditions: ① the common bile duct obstruction, may be combined expansion obstruction due to stones, tumors or benign strictures, tapeworms, ② serum total bilirubin, direct bilirubin-based, ③ elevated levels of plasma endotoxin, ④ the performance of a biliary acute infection, ⑤ no absolute indication for emergency surgery, such as Mi chronic peritonitis, bile duct perforation and bleeding, ⑥ stable vital signs, general condition is acceptable without serious heart and lung liver disease . 1.2 General Information Eligible patients were 46 patients, 26 male and 20 female, aged 22 to 68 years, an average of 47 years. Randomly divided into control group and TCM group, n = 23 patients, 2 patients general information and various laboratory parameters Statistically, the difference was not statistically significant. 1.3 Treatment Control group were treated with duodenoscopy, ERCP first understand the situation of pancreatic duct, confirmed the location and cause of obstruction, re-duodenal sphincterotomy sphincter and common bile duct, and then act accordingly depending on the circumstances . bile duct stone by stone basket remove or direct removal, placed after ENBD, cancer or benign stricture or expansion with the expansion tube stenting after balloon dilatation. Me