经皮胆道内支架置入术姑息性治疗恶性梗阻性黄疸临床观察

Percutaneous intrabiliary-tract stenting for palliative treatment of malignant obstructive jaundice

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。方法28例恶性梗阻性黄疸接受经皮经肝胆道内支架置入术,男18例,女10例。胆管癌13例,胰头癌4例,胆囊癌3例,肝门区转移癌8例。共置入胆道内28枚金属内支架。结果28例采用经皮经肝穿刺置入胆道内支架均获得成功。结论经皮胆道内支架置入术是姑息治疗手术不能切除的恶性梗阻性黄疸的有效方法,配合动脉内灌注化疗可提高恶性阻塞患者的生存率。

Objective To study the clinical value of percutaneous intrabiliary-tract stenting （PIBTS） for palliative treatment of malignant obstructive jaundice. Methods Twenty-eight patients with malignant obstructive jaundice were treated with PIBTS. Eighteen were males and 10 were females, including biliary cancer 13 cases, pancreatic cancer 4 cases, gallbladder cancer 3 cases and hepatic hilar metastatic cancer 8 cases. Twenty-eight metallic stents were placed. Result Stent placement was successful in all 28 cases. Conclusion PIBTS is effective and safe for palliative treatment of malignant obstructive jaundice and can improve the survival rate of patients with malignant obstructive jaundice.