摘要采用国产鼻胆管行内镜鼻胆管引流术（ENBD）73例次，其中恶性胆道病变50例，良性病变23例，合并化脓性胆管炎14例。置管成功率93.2%，术后平均胆汁引流量361.7ml/d，引流有效率75.8%，显效率58.1%。ENBD有较广的适应证，是一种简便有效的胆道减压引流方法，影响ENBD疗效的因素有病变性质、梗阻部位、引流部位及术后护理。

abstractsWith domestic-made nasobiliary catheter, ENBDs were performed in 64 patients and 73 occasions, among whom 50 cases were suffered from malignant biliary obstructions while 23 were benign ones, and 14 cases were complicated by suppurative cholangitis. The success rate of the procedure was 93.2% with a mean drainage of 367.1 ml per day. The effective rate for relief of jaundice was 75.8% with a remarkable effective rate 58.1%. It is concluded that ENBD is a simple and useful method of management for a wide range of biliary disorders, and factors affecting the effectiveness of ENBD are nature of the pathologic lesion, site of obstruction, site of drainage and the problem of after care.