胆道支架对恶性胆道梗阻的治疗研究

Biliary stenting technique in treatment of malignant obstruction of the bile duct

目的:通过实验方法,考察胆道支架技术对恶性胆道梗阻的应用价值。方法:对427例恶性胆道梗阻病人采用经皮胆道支架置入术(EMBE)治疗。结果:单支架植入298例,双支架植入118例。支架植入成功率97.42%。对于恶性胆道梗阻导致的黄疸,解除率为85.11%;总有效率93.44%。结论:1.胆道支架植入技术在临床上应用成功率高,且对黄疸疗效确切。2.应用介入疗法可使梗阻胆管充分引流。3.支架植入技术联合抗肿瘤治疗可提高胆道肿瘤患者的生存率。

Objective:To determine the value of biliary stents in treatment of malignant obstruction of the bile duct . Methods:Percutaneous biliary stents insertion were performed in 427 patients with malignant biliary obstruction. Results:Single stent was inserted in 143 patients and a couple of stents inserted in 68. The successful rate of stent insertion was 97.42% ,jaundice disappearing rate 85.11 % and total effective rate 93.44%. Conclusions 1) Biliary stent placement has high successful rate and reliable efficacy in releasing jaundice. 2) Both the left and right ductal system can be sufficiently drained and stent occlusion appropriately managed by interventional procedures. 3) Stent insertion combined with different anti-cancer t reatments can increase survival rate in the patients.