胆道支架放置术治疗恶性胆道梗阻的临床应用

Clinical application of biliary stents for treatment of malignant biliary obstruction

目的:探讨胆道支架放置术治疗恶性胆道梗阻性黄疸的疗效和安全性。方法:恶性梗阻性黄疸病人24例,均采用胆道支架放置术的治疗方法,分别观察血清胆红素下降程度,手术并发症,并随访病人生存期和胆道支架维持通畅时间。结果:所有病人在治疗过程中均安全,胆道支架放置术疗效显著,黄疸消除率为70.8％,平均支架维持通畅时间为8.6个月,半年和一年生存率为62.5％和16.7％。结论:胆道支架放置术在治疗恶性梗阻性黄疸有较好疗效,使用安全。

Purpose: To evalute the effect and safety of biliary stents in management of malignant biliary obstruction. Methods: Twenty-four patients with malignant biliary obstruction were treated with biliary stents. Results: All patients were safe and had good results during treatment. Conclusions: We consider biliary stents to be an effective and safe modality in treating malignant biliary obstruction.