经内镜逆行胰胆管造影联合腔内射频消融在恶性胆道梗阻治疗中的应用

Assessment of endoscopic retrograde cholangiopancreatography combined with intraductal radiofrequency ablation in treatment of malignant biliary obstruction

恶性胆道梗阻一经临床诊断往往已到中晚期,姑息性解除梗阻成为主要的治疗选择。胆道支架植入是目前运用最多的缓解胆道梗阻的治疗方式,但支架再次梗阻是临床中经常面临的问题,经内镜逆行胰胆管造影联合腔内射频消融治疗恶性胆道梗阻可解决直接梗阻问题,其可延长支架通畅率以及患者的生存时间、生存率,且并发症少,手术相关病死率低,可作为治疗恶性胆道梗阻一种安全可行的姑息性选择。

Malignant biliary obstruction is often in an advanced stage at the time of diagnosis,and palliative relief of obstruction has become the main treatment option. Biliary stent implantation is currently the most widely used treatment for the relief of biliary obstruction,but stent reobstruction has become a common problem in clinical practice. Endoscopic retrograde cholangiopancreatography (ERCP) combined with intraductal radiofrequency ablation can solve the problem of direct obstruction in malignant biliary obstruction and improve stent patency rate,survival time,and survival rate,with few complications and a low surgery-related mortality rate,and therefore,it can be used as a safe and feasible palliative treatment method for malignant biliary obstruction.