摘要
目的:探讨经皮肝胆管穿刺金属内支架植入治疗恶性梗阻性黄疸临床应用价值。方法:108例患者中的97例均采用x线透视下经皮肝穿刺胆道内支架植入术治疗恶性梗阻性黄疸。根据梗阻部位的不同解剖决定放置支架的方式。结果:108例患者中,90例植入单支支架于肝总管或(和)胆总管,7例植入2支以上支架于总管和分支胆管,11例行外引流。全部患者2周内血清胆红素从(436±314)mol/L降低到(53±31)mol/L。结论:经皮肝穿刺内支架植入是治疗恶性胆道梗阻性的有效方法。
Objective： To evaluate the clinical application of percutaneous placement of biliary stent for treatment of malignant obstruc- tive jaundice. Methods： 97 of 108 patients with malignant obstruction jaundice treated by pereutaneous transhepatic biliary stent placement under fluoroscopy. Tbe ways of stent placement is baaed on the morphology of pathologlcal changes of bile ducts. Results： Single stent is implanted in the common hepatic duct or（and）file common bile duct of 90 patients. 2 or more stents are implanted in the common duct and its branches of 7 patients. 11 of them were done by extra-drainge. The serum bilirubin level was remarkably declined from （436 ± 314） mol/L to （53 ± 31） mol/L after 2 weeks in all cases. Conclusion：Pereutaneous transhepatie biliary stentt implantation is an effective therapy for malignant biliary obstruction.
出处
《医学影像学杂志》
2009年第1期53-55,共3页
Journal of Medical Imaging
关键词
介入放射学
胆道支架
胆道梗阻
Interventional radiology
Biliary stent
Biliary obstruction
