经皮肝穿胆道内涵管置入治疗梗阻性黄疸

Percutaneous Transhepatic Plastic Stent Implantation in the Treatment for Obstructive Jaundice

〔目的〕探讨经皮肝穿胆道内涵管置入治疗梗阻性黄疸的疗效及并发症。〔方法〕对55例梗阻性黄疸患者行经皮肝穿胆道内涵管置入术 ,其中45例随访30至332天 ,观察近中期疗效和并发症。〔结果〕经皮肝穿胆道内涵管置入术技术成功率为100%。置入后血总胆红素水平较置入前明显下降(P<0 05)。开通时间平均为108天 ,半年开通率为56%。并发症发生率16 % ,主要包括胰腺炎和逆行胆道感染等。〔结论〕经皮肝穿胆道内涵管置入术疗效可靠 ,可作为胆管阻塞介入治疗的另一种选择。

睵urpose〕To investigate the effect and complication of percutaneous transhepatic plastic stent implantation in the treatment for obstructive jaundice 〔Methods〕Percutaneous transhepatic plastic stent implantation was performed in 55 patients with obstructive jaundice The short term and long term therapeutic effect and complication in 45 patients were observed in the follow-up period of 30～332 days.〔Results〕Success rate of implantation was 100% Total serum bilirubin decreased significantly after percutaneous transhepatic plastic stent implantation than that before implantation (P<0 05),the mean patency time was 108 days,the ratio of half-year patency was 56% The complications occurred in 16% of patients The main complications were pancreatitis and retrograde biliary infection 〔Conclusion〕Percutaneous transhepatic plastic stent implantation is effective and safe It can be used as a choice of interventional treatment in biliary obstruction