内镜下胆道支架置入23例临床分析

Analyzing the Clinical Treatment to Put A Trestle in the Bile Duct With Endoscope for 23 Cases

目的：探讨内镜下胆道支架置入治疗恶性胆道 梗阻的疗效。方法：对２３例恶性胆道梗阻患者采用内镜下胆道支架置入治疗，置管２４次，对 其成功率、支架堵塞时间、并发症进行分析。结果：首次置管成功率７８．３％，总置管成功率 ８７％，置管成功２０例均达到降黄目的，临床症状缓解。带侧孔支架堵塞时间最短７６ｄ，圣诞树 支架堵塞时间最短１４８ｄ，最长３１２ｄ。结论：内镜下胆道支架置入是恶性胆道梗阻有效的治疗方法，创伤小、方便、经济、安全，可有效延长患者生存时间，提高生活质量。

Objective:To discuss the treatment and the method of endoscopic placement of stents in the bile duct to cure pernic ious bile obstruction.Methods:To put a trestle with the endoscope in the bile du ct to cure the pernicious bile obstruction 24 times for 23 cases and to analyze the successful rate of the treatment,blockage of biliary stents and its complica tion.Results:The successful rate of placement of stents is 78.3% in the first ti me and the total successful rate is 87%.The purpose of the treatment to make the relief of jaundice was fulfilled for 20 cases with successful trestle putting a nd the clinical symptoms mitigated.The shortest time after stenting in the side- hole trestle is 76d,the time for the Christmas tree-trestle and the blockage of biliary stents is 148d and the longest time is 312d.Conclusion:Endoscopic placem ent of biliary stents is an effective treatment for the pernicious bile obstruct ion with the advantages of a smaller cut,safety,an easier treatment and less cos t.It is possible to help the patients to remain their lifetime longer and to imp rove the life quality.