期刊文献+

经皮胆道内涵管置入术治疗恶性梗阻性黄疸的疗效分析 被引量:1

Therapeutic evaluation of percutaneous transhepatic plastic stent implantation for malignant obstructive jaundice
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摘要 目的 探讨经皮经肝胆道内涵管置入术治疗恶性梗阻性黄疸的疗效及并发症。 方法 对 32例恶性梗阻性黄疸患者行经皮经肝胆道内涵管置入术 ,随访 35~ 376天 ,观察近中期疗效和并发症。 结果 经皮经肝胆道内涵管置入术技术成功率为 10 0 %。血清总胆红素水平于置入术后 1周较置入前明显下降 (P <0 .0 0 1) ,术后 2周较术后 1周明显下降 (P <0 .0 0 1)。开通时间平均为 10 1天 ,半年开通率为 5 0 %。并发症发生率 2 8 1% ,主要为胰腺炎和逆行胆道感染等。 结论 经皮经肝胆道内涵管置入术安全疗效可靠 。 Ojective To investigate the efficacy and complication of percutaneous transhepatic plastic stent implantation for maligant obstructive jaundice. Methods Percutaneous transhepatic plastic stent implantation was performed in 32 patients with malignant obstructive jaundice. The early and long term theraputic efficacy and complications of the technique in 32 patients were observed for follow-up periods of 35~376 days. Results Technical success rate was 100%. Serum total bilirubin decreased significantly the first week after percutaneous transhepatic plastic stent implantation ( t =3.643, P <0.001), while serum total bilirubin in the postoperative second week further decreased significatly as compared with that in the postoperative first week ( t =2.903, P <0.001). The mean patency time was 101 days and the ratio of half-year patency was 50.0%. The comlications occurred in 28.1% of patients, mainly including pancreatitis and retrograde biliary infection. Conclusions Percutaneous transhepatic plastic stent implantation is effective and safe and it can be used as a choice of interventional treatment of malignant biliary obstruction.
出处 《中国微创外科杂志》 CSCD 2001年第5期290-291,共2页 Chinese Journal of Minimally Invasive Surgery
关键词 经皮胆道内涵管置入术 手术治疗 恶性梗阻性黄疸 临床疗效 并发症 血清总胆红素 Radiology interventional Stent Biliary obstruction Biliary tumor
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参考文献5

  • 1Burcharth F, Jensen LI, Olesen K.Endoprothesis for drainage fo the biliary tract. Technique and results in 48 cases.Gastroenterology, 1979, 77:133-37.
  • 2姜卫剑,姚力,任安,周万里,任树勇,谭必勇,张毅力,葛海峰,肖文毅,张雪哲.经皮胆道内支架置入术姑息性治疗恶性梗阻性黄疸(附51例报告)[J].中华放射学杂志,1997,31(11):729-733. 被引量:95
  • 3胡冰,周岱云.经内镜放置金属胆道支架24例的体会[J].内镜,1996,13(2):70-73. 被引量:13
  • 4Smith AC, Douseff JF, Russell RCG, et al. Stent or surgery for palliation ofmalignant biliary obstruction, is the choice clear now?. Gastroenterology, 1995,109:1398-1400.
  • 5Leung JW, Liu YL, Desta T, et al. Is there a synergistic effect between mixedbacterial infection in biofilm formation on biliary stents?.Gastrointest-Endosc,1998,48:250-7.

二级参考文献1

  • 1徐克,中华放射学杂志,1994年,28卷,295页

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  • 1缪林,范志宁,季国忠,文卫,刘政,黄光明,蒋国斌,吴萍.经内镜胆道支架治疗胆道良恶性梗阻的临床研究[J].中国内镜杂志,2004,10(11):11-14. 被引量:28
  • 2易滨,张柏和,张永杰,姜小清,张宝华,俞文隆,程庆保,吴孟超.手术方式与肝门部胆管癌预后的关系分析[J].中华外科杂志,2005,43(13):842-845. 被引量:31
  • 3d' Alincourt A,Lerat F,Gibaud H,et al.Percutaneous self-expanding metallic endoprosthesis and malignant biliary stenoses.J Radiol,1998,79(1):39-43.
  • 4Cheng JL,Bruno MJ,Bergman JJ,et al.Endoscopic palliation of patients with biliary obstruction caused by nonresectable hilar cholangiocarcinoma:efficacy of self-expandable metallic Wallstents.Gastrointest Endosc,2002,56:33-39.
  • 5Bismuth H,Nakache R,Diamond T.Management strategies in Resection for Hilar cholangiocarcinoma.Ann Surg,1992,251(1):31.
  • 6Hemming AW,Kim RD,Mekeel KL,et al.Portal vein resection for hilar cholangiocarcinoma.Ann Surg,2006,72:599-604.

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