摘要
目的探讨内镜下双支架治疗胆胰管恶性梗阻的疗效。方法对20例胆胰管恶性梗阻患者行内镜下逆行性胆胰管造影后根据狭窄情况分别置入塑料支架,观察治疗前后腹痛症状变化及血清胆红素指标变化。结果18例胆胰管同时狭窄者及1例肝门部狭窄者均一次性置入胆管及胰管支架,1例肝门部狭窄者置入双支架困难,后置入支架至右肝管,术后腹痛、黄疸明显减轻,血清胆红素明显下降。结论内镜下双支架治疗胆胰管恶性梗阻是安全有效的方法,可在临床中进一步推广应用。
[Objective] To study the clinical effect of double stent drainage on the malignant cholangiopancreatic duct obstruction. [Methods] To the twenty patients of the malignant cholangiopancreatic duct obstruction,ERCP were done firstly to assess the extent of the obstruction and plastic stents were inserted into respectively according to the narrow circumstance. The bellyache symptom and the bihrubin were observed after the operation. [Results] To the eighteen patients of the malignant cholangiopancrcatic duct stenosis and one hepatic portal stenosis, double stents were inserted successfully. One hepatic portal stenosis was failed, then the stent was inserted into the right hepatic duct. The bellyache symptom and the jaundice eased obviously and the serum bilirubin descended obviously. [Conclusion] The therapy with double stent drainage of the malignant cholangiopancreatic duct obstruction is safe and effective can be further applied in the clinic.
出处
《中国内镜杂志》
CSCD
北大核心
2007年第1期81-82,共2页
China Journal of Endoscopy
关键词
胆胰管
梗阻
癌
支架治疗
cholangiopancreatic duct
obstruction
cancer
stent drainage
