经皮肝穿胆道引流及支架植入治疗恶性梗阻性黄疸

Percutaneous transhepatic biliary drainage and stent implantation in the treatment of malignant obstructive jaundice

目的:探讨经皮肝穿胆道内外引流及支架植入治疗恶性梗阻性黄疸的临床疗效。方法 :在C型臂下,16例恶性梗阻性黄疸患者采用经皮肝穿胆道内外引流及支架植入治疗。结果:16例患者中,14例1次行支架植入成功,2例因导丝不能通过狭窄先行外引流1周后再行支架植入成功。术后患者黄疸均得到不同程度改善,1例发生少量的胸腔积液。结论:经皮肝穿胆道引流及支架植入治疗恶性梗阻性黄疸疗效可靠,创伤小,缓解症状快,并发症少,可明显提高患者生活质量,延长生存时间。

Objective：To investigate the clinical efficacy of pereutaneous transhepatic biliary drainage and stent implantation in the treatment of malignant obstructive jaundice. Methods：Under the C arm, 16 cases of malignant obstructive jaundice were treated by pereu- taneous liver biopsy biliary drainage and stenting treatment inside and outside. Results：of 16 cases, 14 cases of a line of stenting is suc- cessful ,2 cases because of outside thread cant through the narrow first drainage stent success again after 1 week. Postoperative patients with jaundice were improved to varying degrees, A small amount of pleural effusion in 1 case. Conclusion： Pereutaneous liver biopsy biliary drainage and stenting treatment of malignant obstructive jaundice curative effect should be reliable, Small trauma, relieve symptoms quick- ly, fewer complications, and could obviously improve the patients quality of life, prolong survival time.