晚期恶性梗阻性黄疸的双介入治疗现状

Dual Interventional Therapy for Malignant Obstructive Jaundice

恶性梗阻性黄疸是胆管癌、胰腺癌及壶腹部恶性肿瘤侵及胆道系统而引起的胆汁排泄受阻,因缺乏有效的治疗方法,预后较差。近年来,随着科技和影像技术的迅速发展,经皮经肝胆管穿刺置管引流(percutaneous transhepatic cholangial drainage,PTCD)或胆道支架置入与放射性粒子植入相结合,腔内导管射频消融联合胆道支架置入等双介入治疗技术应用于恶性梗阻性黄疸的治疗,可解除胆道梗阻,缓解黄疸。本文对PTCD联合放射性粒子植入、胆道支架联合放射性粒子植入及腔内导管射频消融联合胆道支架置入技术的临床应用作一综述。

Malignant obstructive jaundice is the bile obstruction caused by the invasion of cholangiocarcinoma,pancreatic cancer or ampulla cancer. Due to lack of effective treatment,the prognosis is poor. In recent years,with the rapid development of medical technology and imaging technology,dual interventional treatment technology,such as percutaneous transhepatic cholangial drainage（ PTCD） or biliary stenting combined with radioactive seed implantation,ablation catheter lumen combined with biliary stent implantation,is applied in the treatment of malignant obstructive jaundice. This article is the summary of the clinical application of PTCD combined with radioactive seed implantation,biliary stent combined with radioactive seed implantation and intraluminal catheter radiofrequency ablation combined with biliary stent implantation technique.