ERBD治疗难以切除的恶性胆道梗阻

Effect of endoscopic retrograde biliary drainage on irresectable malignant biliary obstruction

目的 探讨内镜下逆行胆道内引流术 (ERBD)对难以切除的恶性胆道梗阻的姑息性治疗作用。 方法 通过十二指肠镜对41例由7种晚期恶性肿瘤引起的梗阻性黄疸患者 ,施行逆行胆道内支架植入术 ,全部获成功。结果 38例患者血清总胆红素降至正常 ,另3例下降约50%。 结论 ERBD能有效控制恶性胆道梗阻患者的黄疸 。

Objective To explore the palliative effect of endoscopic retrograde biliary drainage(ERBD) on irresectable biliary obstruction caused by malignant neoplasm. Methods 41 patients with obstructive jaundice due to 7kinds of advanced carcinoma were successfully embeded with internal frames of biliary tract through duodenoscopy. Results The levels serum total bilirubin were decreased to nomal level in 38 patients and decreased by 50% in 3 patients. Conclusion As a microtraumatic technique, ERBD can effectively extinct the jaundice for patients with irresectable biliary obstruction.