摘要
目的:探讨介入治疗梗阻性黄疸的临床价值。方法:23例梗阻性黄疸患者经皮穿刺胆管造影后行介入治疗,经皮肝穿刺胆管引流(PTCD)14例,PTCD+胆管内支架(PTIBS)9例、使用金属支架9枚。结果:22例黄疸消退满意,治疗后7 d血清总胆红素平均为198.4±84.6μmol.L-1,与治疗前相比有显著性差异(P<0.05);直接胆红素平均为127.6±50.5μmol.L-1,与治疗前相比有显著性差异(P<0.05)。1例效果不满意。结论:PTIBS和PTCD是姑息治疗梗阻性黄疸的安全而有效的方法。
Objective： To study the clinical value of PTCD and percutaneous ransshepetic insertion of biliary stent （PTIBS） for treating malignant and benign obstruction. Methods： Twenty - three patients with biliary obstruction were treated with PTIBS or PTCD. A total of 9 biliary metallic stents were placed in 9 patients. 14 cases were treated by PTCD. Results： In 22 cases, jaudice was reduced satisfactory. Conclusion： PTIBS and PTCD were effective and safe method in the treatment of biliary obstruction.
出处
《现代临床医学》
2007年第1期19-20,共2页
Journal of Modern Clinical Medicine
关键词
介入治疗
梗阻性
黄疸
interventional therapy
obstruction
jaudice
