摘要
目的:研究经皮胆道内支架置入术姑息性治疗恶性梗阻性黄疸的临床价值。材料与方法:51例恶性梗阻性黄疸患者,在经皮胆道造影后进行了胆道内支架置入。其中置入塑料内支架者9例,自展式金属内支架者42例,共使用胆道内支架56枚。结果:全组治疗前、后血清总胆红素相差的均数±标准误为167±52μmol/L,P<0.005。51例中,总胆红素恢复正常或接近正常者36例,总胆红素下降百分比>50%者8例,下降百分比为25%~50%者4例,下降百分比<25%者3例。全组30天病死率5.9%(3/51),早期并发症19.6%(10/51)。26例有完整随访的患者(平均5.6个月),死亡11例(42.3%),内支架阻塞4例(15.4%),其中3例进行了再次介入治疗。结论:经皮胆道内支架置入术是姑息性治疗手术不能切除的恶性梗阻性黄疸的有效方法。
Purpose: To study the clinical value of percutaneous implantation of biliary endoprotheses for treatment of malignant biliary obstruction. Materials and methods: A total of 56 endoprotheses were placed percutaneously in 51 patients for palliation of malignant biliary obstruction, of them, 9 plastic endoprotheses were placed in 9 patients, and 47 self expandable metallic endoprotheses in 42 patients. Results: The difference between post and ante operation in the serum total bilirubin level of 51 patients was 167±52 μmol/L, P <0.005. The 30 day mortality rate was 5.9%( n =3). The early complication rate was 19.6%( n =10). No procedure related death occurred. In 26 patients with follow up (mean follow up time 5.6 months), 11 patients died, and 4 patients developed recurrent jaundice and/or cholangitis. Conclusion: Percutaneous placement of biliary endoprotheses was effective and safe for palliation of malignant biliary obstruction.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1997年第11期729-733,共5页
Chinese Journal of Radiology
关键词
梗阻性黄疸
胆管肿瘤
介入疗法
内支架置入
Radiology, interventional Stent Biliary obstruction, extrahepatic Biliary tumor