摘要
目的探讨经十二指肠镜胆管支架或鼻胆管置放与γ刀结合治疗胆管恶性梗阻性疾病的疗效。方法29例胆管恶性梗阻患者中20例被放置塑料支架,6例放置鼻胆管;均行γ刀治疗10~12次/疗程,总剂量为40~50Gy。结果插管成功率89.7%。并发症3例(10.3%),其中急性胰腺炎2例,急性胆管炎1例。血清胆红素术前290μmol/L,术后1周下降到101μmol/L。治疗3,6个月存活率分别迭96%及80%。结论经内镜胆管支架或鼻胆管置放结合γ刀治疗胆管恶性梗阻性疾病安全、有效。
Objective To explore the therapeutic effect of endoscopic biliary stents or naso-biliary tube placement combined with gamma-knife therapy in malignant biliary obstructions. Methods The 29 patients suffering from malignant biliary obstruction were treated, 20 of whom were implanted with plastic stents and 6 were with nasobiliary tubes. All patients were radiated by gamma-knife therapy, 10-12 times a period of treatment with 40-50 Gy in general dosage. Results The success rate of intubation was 89.7%. 3 eases developed complications ( 10.3% ) , including 2 acute panereatitis and 1 acute eholangitis. Serum bilirubin decreased from 290 μmol/L to 101μmol/L in 1 week. Survival rates after treatment were 96% and 80% in 3 months and 6 months, respectively. Conclusion Endoscopic biliary stents or naso-biliary tube placement combined with gamma-knife therapy is safe and effective in treating malignant biliary obstruction.
出处
《中国综合临床》
北大核心
2007年第5期443-444,共2页
Clinical Medicine of China
关键词
胆管恶性梗阻
内镜
Γ刀治疗
Malignant biliary obstruction
Endoscopy
Gamma-knife treatment