恶性胆道梗阻患者内镜下支架治疗分析

Endoscopic stent placement for patients with malignant biliary obstruction

目的探讨内镜下支架置入对恶性胆道梗阻患者的临床应用价值。方法 23例恶性胆道梗阻患者,内镜下置入胆道塑料或金属支架,观察术后并发症以及手术前后胆红素变化。结果 23例恶性胆道梗阻患者中,内镜下植入支架成功23次,2例未能成功,3例2次更换支架,操作成功率为91.3%,消除黄疸总有效率为86.9%,并发症发生率为8.7%,平均存活期约为6.9个月。结论经内镜胆道支架置入术可解决恶性胆道梗阻引起的黄疸,且创伤小、并发症少,能提高患者生存质量。

Objective To explore the clinical value of endoscopic biliary stent placement for patients with malignant biliary obstruction（MBO）.Methods Twenty-three MBO patients received placement of plastic or metal stents endoscopically.Complications were observed after the operation and the total serum bilirubins were compared.Results All the 23 MBO patients had 23 successful endoscopic stent placement with only 2 failures.Three patients underwent placement a second time.The overall success rate was 91.3%.The overall efficacy rate of eliminating jaundice was 86.9% and the incidence rate of complications was 8.7%.The mean survival time of all patients was 6.9 months.Conclusion Endoscopic biliary stent placement is effective in reducing jaundice caused by MBO with less complications,and it can improve the life quality of patients.