摘要
恶性胆道梗阻晚期出现重度黄疸、瘙痒,对生命构成严重威胁。对于广泛转移或不能耐受手术或不愿手术的患者而言,减黄是提高生活质量的重要方法。近年来,支架技术的进步和广泛应用,在很大程度上有效解决了此类患者的黄疸问题,确实达到了提高生活质量、延长生存期的效果。
出处
《中华消化内镜杂志》
北大核心
2009年第8期430-432,共3页
Chinese Journal of Digestive Endoscopy
参考文献9
-
1Shinchi H, Takao S, Nishida H, et al. Length and quality of survival following external beam radiotherapy combined with expandable metallic stent for unresectable hilar cholangiocarcinoma. J Surg Oncol ,2000,75:89-94.
-
2Rerknlmitr R, Kladcharoen N, Mahachai V, et al. Result of endoscopic biliary drainage in hilar cholangiocarcinoma. J Clin Gastroenterol, 2004,38 : 518 -523.
-
3Thomopoulos KC, Vagenas K, Assimakopoulos SF, et al. Endoscopic retrogade cholangiopancreatography is safe and effective method for diagnosis and treatment of biliary and pancreatic disorders in octogenarians. Acta Gastroenterol Belg,2007,70 : 199-202.
-
4kogure H, Tsujino T, Yagioka H, et al. Self-expandable metallic stents for malignant biliary obstruction with an anomalous pancreaticobiliary junction. Surg Endosc,2008,22:787-791.
-
5范志宁,缪林,季国忠,文卫,蒋国斌,吴萍,章爱春,李农.镍钛记忆合金支架在治疗胆道恶性梗阻中的应用[J].中华消化内镜杂志,2004,21(2):124-126. 被引量:17
-
6胡冰,周岱云,龚彪,钱光相,吴孟超.可膨式金属胆道支架解除恶性胆管梗阻的中长期疗效[J].中华消化内镜杂志,1998,15(6):327-331. 被引量:32
-
7郭元星,李彦豪,陈勇,陈平雁,罗鹏飞,李勇,单鸿,姜在波.恶性胆道梗阻支架置入术后影响患者生存期和支架开通期因素的研究(多中心研究)[J].中国医学影像技术,2001,17(11):1027-1029. 被引量:6
-
8侯森林,乔占英,康建省,吕海涛,李玉英,高永平.支架与手术引流对梗阻性黄疸患者免疫功能的影响[J].中华消化内镜杂志,2005,22(1):46-47. 被引量:29
-
9Bruha R, Petrtyl J, Kubecova M, et al. Intraluminal brachy therapy and selfexpandable stents in nonreseetable biliary malignancies-the question of long-term palliation. Hepatogastroentemlogy,2001, 48:637.
二级参考文献23
-
1胡冰,周岱云.经内镜放置金属胆道支架24例的体会[J].内镜,1996,13(2):70-73. 被引量:13
-
2Dawiskiba J, Zimecki M, Kwiatkowska D, et al. The effect of endotoxin administration on cytokine production in obstructive jaundiced rats. Arch Immunol Ther Exp (Warsz) ,2001,49:391-397.
-
3Shigeta H, Nagino M, Kamiya J, et al. Bacteremia after hepatectomy: an analysis of a single-center, 10-year experience with 407 patients. Langenbecks Arch Surg,2002 ,387:117-124.
-
4Chamberlain RS, Blumgart LH. Hilar cholangiocarcinoma: a review and commentary. Ann Sug Oncol,2000,7:55-66.
-
5Jamas S, Golydos MD, Anne M, et al. Marked elevation of serum interleukin-6 in patients with cholangiocarcinoma, Ann Surg, 1998,227:398-404.
-
6Semenzato G, Bambara LM, Biasi D, et al. Increase serum levels of soluble interleukin-2 receptor in patients with systemic lupus erythematosus and rheumatoid arthritis. J Clin Immuol, 1998,8:447-452.
-
7Kordzaya DJ, Goderdzishvili VT. Pathogenesis of endotoxemia and multiple organ failure in ease of mechanical jaundice and their aggravation after the relief of cholestasis. Przegl Lek, 2000,57:36-39.
-
8姜卫剑,介入放射学,1998年,7卷,3期,141页
-
9Carrasco CH, Hopper KC,Wegert SJ. Expandable biliary endoprothesis: an experimental study. AJR, 1985, 145:1279-1284.
-
10Hoepffner N,Foester EC,Hogemann B,et al. Long-term experience in Wallstent therapy for malignant choledochal stenosis. Endoscopy,1994,26:597-602.
共引文献75
-
1郭涛,陆星华.恶性胆道梗阻的内镜治疗[J].中国消化内镜,2007,1(8):23-28.
-
2刘科霞,刘志红,陈俊娥,金凤.内镜下胆道内支架置入术治疗恶性胆道梗阻131例分析[J].中国全科医学,2007,10(12):1023-1024. 被引量:3
-
3廖宇圣,余中逊,孙大勇.老年急性梗阻性化脓性胆管炎的内镜治疗[J].现代消化及介入诊疗,2004,9(2):107-108.
-
4张伟,夏惠治,刘鹏飞,项斌,孙芳.内镜下放置可膨式金属胆道支架解除恶性胆管梗阻[J].实用临床医药杂志,2004,8(4):93-94.
-
5吴明波,徐美东,姚礼庆.经内镜胆道内支架术治疗恶性胆管梗阻的临床价值[J].徐州医学院学报,2005,25(1):18-20. 被引量:5
-
6贾国法,王美玲,王秀侠,单红,朱良松,孙振兴.胆管内支架引流治疗良恶性胆管梗阻[J].中华消化内镜杂志,2005,22(1):50-51. 被引量:24
-
7葛振明,李玉明,王亚民,钱俊波,陈天敏,朱云松.胆胰管支架安置在21例胆胰疾病中的治疗作用[J].南京医科大学学报(自然科学版),2005,25(3):209-210. 被引量:2
-
8孟艳玲,史立军,尹基颖.胆管内支架引流治疗良恶性胆管梗阻的临床分析[J].中国误诊学杂志,2005,5(11):2104-2105.
-
9刘福建,韦爱昌,关航,廖远庄,贾秋红,陆兆炯.消化管支架在治疗消化管良恶性狭窄中的应用[J].广西医学,2005,27(10):1515-1517. 被引量:1
-
10刘科霞,李灿霞,李文,杨冬山,刘志红.内镜与超声联合经皮肝穿胆道引流术治疗恶性胆道梗阻[J].中华消化内镜杂志,2005,22(6):411-412. 被引量:6
同被引文献21
-
1谢长顺,郑岳,姜东春,刘慧敏,曲磊红,徐梅梅,李莉,于杰.PTC与ERCP联合治疗恶性胆道梗阻[J].实用放射学杂志,2007,23(2):275-276. 被引量:5
-
2卢诚军,杜智,聂福华,经翔,孙伟,张金卷.PTCD联合胆管支架对恶性梗阻性黄疸姑息性治疗的临床研究[J].中国医师进修杂志(外科版),2007,30(4):14-16. 被引量:9
-
3张希全,刘海军,王胜强,董戈,郭峰,朱伟,潘晓琳.肝门部高位恶性胆管梗阻的多支架引流治疗[J].中华消化杂志,2007,27(4):235-238. 被引量:14
-
4Shinchi H, Takao S, Nishida H, et al. Length and quality of survival following external beam radiotherapy combined with expandable metalic stent for unresectable hilar cholangiocarcinoma [ J ]. J Surg Oncol, 2000,75 ( 1 ) : 89 -94.
-
5丁家增,彭承宏,严佶祺,杨卫平,陈拥军,李勤裕,李宏为.胆道损伤行胆肠Roux-en-Y吻合后胆道再次狭窄的处理[J].中国实用外科杂志,2007,27(10):816-818. 被引量:19
-
6Lee JK, Lee SH, Kang BK, et al. Is it necessary to insert a nasobiliary drainage tube routinely after endoscopic clearance of the common bile duct in patients with choledocholithiasis-induced cholangitis? A prospective, randomized trial[J]. Gastrointest Endosc, 2010, 71(1):105-110.
-
7Kawashima H, Itoh A, Ohno E, et al. Preoperative endoscopic nasobiliary drainage in 164 consecutive patients with suspected perihilar cholangiocarcinoma: a retrospective study of efficacy and risk factors related to complications[J]. Ann Surg, 257(1):121-127.
-
8Yang J, Peng JY, Pang EJ, et al. Efficacy of endoscopic nasobiliary drainage for the prevention of post-endoscopic retrograde cholangiopancreatography pancreatitis and cholangitis after repeated clearance of common bile duct stones: experience from a Chinese center[J]. Dig Endosc, 2013, 25(4):453-458.
-
9Gurusamy K, Sahay SJ, Burroughs AK, et al. Systematic review and meta-analysis of intraoperative versus preoperative endoscopic sphincterotomy in patients with gallbladder and suspected common bile duct stones[J]. Br J Surg, 2011, 98(7):908-916.
-
10Kawakami H, Kuwatani M, Onodera M, et al. Endoscopic nasobiliary drainage is the most suitable preoperative biliary drainage method in the management of patients with hilar cholangiocarcinoma[J]. J Gastroenterol, 2011, 46(2):242-248.
二级引证文献24
-
1戴彩云,李夏,刘洋,黄慧.经皮肝穿刺胆管引流和内支架置入术的护理要点分析[J].中国继续医学教育,2016,8(5):221-222. 被引量:1
-
2邓小强.经皮肝穿刺胆管支架置入治疗恶性胆管梗阻临床分析[J].基层医学论坛,2016,20(19):2653-2654. 被引量:1
-
3朱翠翠,孙强,刘会春.精细化护理对恶性梗阻性黄疸经皮肝穿刺胆道内金属支架植入患者的影响分析[J].中华全科医学,2016,14(12):2126-2128. 被引量:11
-
4崔虎啸.经皮肝胆管穿刺置管引流术治疗胆道梗阻的临床效果[J].国际医药卫生导报,2016,22(24):3774-3777.
-
5吴勇超,荣小翠,武中林,李顺宗,杨光,郝晓光,李智岗.不同胆道引流方式对高位恶性胆道梗阻疗效的影响[J].肿瘤防治研究,2017,44(2):133-137. 被引量:5
-
6武中林,李智岗,杨光,吴勇超,荣小翠,李顺宗.高位恶性胆道梗阻介入手术入路与并发症的对比分析[J].河北医科大学学报,2017,38(4):433-437. 被引量:1
-
7蒋强,张燕军,周毅,王海亭,蒋忠仆.PTCD和PTCS治疗老年恶性胆管梗阻[J].中国民康医学,2017,29(8):15-16.
-
8张瑞鹏.胆道支架与十二指肠支架联合应用治疗胆道消化道梗阻[J].中外医学研究,2017,15(33):165-166. 被引量:1
-
9陈栋,吴维剑,莫岳忠,周利旺.经皮肝穿刺胆管造瘘电子胆道镜取石术的临床疗效[J].腹腔镜外科杂志,2018,23(1):58-61. 被引量:19
-
10刘小莉.中晚期原发性肝癌患者辅助治疗中采取姑息疗法的效果分析[J].医药前沿,2018,8(7):88-89.
-
1辛甜甜,陈笋.食管支架治疗儿童食管病变的现状及进展[J].国际消化病杂志,2013,33(3):165-166. 被引量:2
-
2刘新群,李相芬.B超引导注射无水乙醇及抗癌药物治疗原发性肝癌临床观察[J].中国误诊学杂志,2002,2(2):219-220.
-
3史长涛,蔡常春,吴力群,张炳远,邱法波,张顺.肝门部胆管癌合并重度黄疸者行肝叶切除后并发症的诊治[J].外科理论与实践,2008,13(2):170-171.
-
4傅汉中,李仲启,等.动脉灌注化疗与参麦注射液治疗肝癌生存期分析[J].中华综合医学,2001,2(9):828-829.
-
5王成,张煦.TEN和MVD在胃腺癌中的表达及预后意义[J].西北国防医学杂志,2005,26(1):26-28.
-
6陈健,李敏,王静,赵俊生.血管内皮生长因子、癌基因c-erbB-2在胃癌中的表达及临床意义[J].中国肿瘤临床,2002,29(1):15-19. 被引量:4
-
7张百红,王湘辉,凌昌全.中药治疗晚期肝癌的生存期分析[J].成都中医药大学学报,2009,32(3):13-16. 被引量:7
-
8黄苹,钱飞宇,赖义勤.172例肺癌患者生存期分析[J].浙江肿瘤,1996,2(1):45-46.
-
9黄素芬,范红卫.大连市西岗区1985~1988年恶性肿瘤生存期分析[J].中国卫生统计,1990,7(4):16-18.
-
10王允惠,赵泽贞.100例原发性肝癌患者生存期分析[J].实用癌症杂志,1991,6(2):130-131. 被引量:2