金属内支架置入治疗恶性胆道梗阻的临床效果

Clinical evaluation on biliary metallic stent placement for malignant bile duct obstruction

目的评价金属内支架置入治疗恶性胆道梗阻的临床效果。方法对37例恶性阻塞性黄疸患者行经皮肝穿刺金属内支架置入术。结果采用经皮经肝穿刺置入胆管支架均获成功,37例患者术前血清胆红素(388±153)μmol/L,术后1周复查血清胆红素下降至(170±99)μmol/L(P<0.01)。结论胆道金属支架置入是有效解除胆道恶性梗阻的方法,对中晚期恶性梗阻性黄疸病人为一种较好的姑息性治疗手段。

Objective To evaluate clinical efficacy of biliary metallic stent placement for malignant bile duct obstruction. Methods Biliary metallic stent were percutaneously insert ed in 37 patients（26 males and 11 females） with malignant obstruction . Results Biliary metallic stent were percutaneously inserted in all patients successfully. The serum level of total bilirubin reduced from （ 388 ± 153 ） μmol/L to （ 170 ± 99 ） μmol/L after treatment（ P 〈 0.01 ）. Conclusion These results indicate that biliary metallic stent placement is an effective and safe palliative therapy for malignant bile duct obstruction .