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经皮肝穿刺胆道内射频消融内支架置入术与单纯内支架置入术治疗恶性胆道梗阻的临床疗效比较 被引量:7

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摘要 目的比较胆道内射频消融内支架置入术与单纯支架内置入术治疗胆道恶性肿瘤的临床疗效。方法调查25例实施经皮肝穿刺胆道治疗恶性胆道梗阻患者,其中12例行经皮肝穿刺胆道内射频消融内支架置入术(射频组),13例行单纯内支架置入术(支架组)。所有患者均随访至死亡或术后1年。采用Kaplan-Meier方法比较2组患者的支架开通率及患者的生存期。结果射频组的30 d再阻塞率显著低于支架组(P<0.05)。射频组中位生存期显著长于支架组(P<0.05)。结论胆道内射频消融内支架置入术治疗恶性胆道梗阻临床疗效优于单纯内支架置入术。 Objective To compare the clinical effect of percutaneous biliary radiofrequerncy and endoprothesis with conventional biliary stents in treating malignant biliary obstruction. Methods Twenty ifve patients with malignant biliary obstruction were recruited and divided into two groups, radiofrequerncy and conventional group. Percutaneous biliary radiofrequerncy and endoprothes were performed in twelve patients in radiofrequerncy group while another thirteen patients received conventional biliary stents. All patients were well followed-up until death or at least one year after the procedures. Kaplan Meier analysis was used to compare the patients` survival rate and stent patency rates. Results Both mortality rate and reobstruction rate were lower in radiofrequerncy group than these in conventional group (all P<0.05). Conclusion Compared with the conventional interventional therapy, radiofrequency can reduce the re-obstruction rate as well as the postoperative survival rate of the patients with malignant biliary obstruction. Radiofreuerncy and endoprothesis is superior to simple biliary stents in treating malignant biliary obstruction.
出处 《当代医学》 2015年第4期91-92,共2页 Contemporary Medicine
关键词 射频消融 内支架 胆管阻塞 Radiofrequerncy Biliary stents Biliary obstruction
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  • 1胡冰,周岱云,龚彪,钱光相,陈汉,吴孟超.经内镜胆管引流术在肝门部恶性胆管梗阻中的应用及其评价[J].中华外科杂志,1997,35(2):73-76. 被引量:21
  • 2[3]Bismuth H,Castaning D,Traynor O.Resection or palliation:priority of surgery in the treatment of hilar cancer[J].World J Surg,1988,12 (1):39-47.
  • 3[4]Lee BH,Choe DH,Lee JH,et al.Metallic stents in malignant biliary obstruction:prospective long-term clinical results[J].AJR Am J Koentgenol,1997,168(3):741 -745.
  • 4[5]Chang Won Kim,Auh Whan Park,Jae Whan Won,et al.T-configured dural stent placement in malignant biliary hilar duct obstruction with a newly designed stent[J].JVIR,2004,15(7):713 -717.
  • 5[8]Kanasaki S,Furakawa A,Kane T,et al.Polyurethane-covered nitinol strecker stents as primary palliative treatment of malignant biliary obstruction[J].Cardiovasc Intervent Radiol,2000,23(2):114-120.
  • 6[11]Sehmet Inal,Erol Akgul,Erol Aksungur,et al.Percutaneou placement of biliary metallic stents in patients with malignant hilar obstruction:unilobar versus bilohar drainage[J].JVIR,2003,14 (11):1409-1416.
  • 7徐克,中华放射学杂志,1994年,28卷,295页
  • 8Gordon R L,Radiology,1992年,182期,697页
  • 9Inal M,Akgul E,Aksungur E,et al.Percutaneous self-expandable uncovered metallic stents in malignant biliary obstruction[].Acta Radiologica.2003
  • 10Dinkel HP,Triller J.Primary and long-term success of percutaneous biliary metallic endoprotheses (Wallstents) in malignant obstructive jaudice[].Rofo Fortschr Geb Rontgenstr Neuen Bildged Verfahr.2001

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