摘要
目的 探讨经皮肝胆道内支架置入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经皮肝穿胆道内行支架置入术 ,其中 2 8例为内涵管 ,4例为金属内支架。随访 35～ 376天 ,观察近中期疗效和并发症。结果 经皮肝胆道内支架置入术技术成功率为 10 0 %。置入术后 1周血总胆红素水平较置入前明显下降 (P<0 .0 0 1)。开通时间平均为 10 1天 ,半年开通率为 5 6 .2 5 %。并发症发生率 2 4.98% ,为主要包括胰腺炎和逆行胆道感染等。结论 经皮肝胆道内架置入术疗效可靠 ,是一种安全 ,可作为恶性胆管阻塞介入治疗的一种姑息性疗法。
Purpose To investigate the effect and complication of percutaneous transhepatic stent implantation. Methods Percutaneous transhepatic stent implantation was performed in 32 patients with malignant obstructive jaundice: plastic stent of 28 patients, metal stent of 4 patients. The early and late theraputic effects and complications of 32 patients were observed in 35-376 days follow up periods. Results Technical success rate was 100%. Serum total bilirubin decreased significantly after percutaneous transhepatic stent implantation in the first week ( P <0.001). The mean patency time was 101 days,the ratio of half-year patency was 56.25%.The complications occurred in 24.98% of patients,mainly included pancreatitis and retrograde biliary infection. Conclusion Percutaneous transhepatic stent implantation is effective and safe, it can be used as a choice of interventional treatment to malignant biliary obstruction. [
出处
《中国医学影像技术》
CSCD
2001年第6期559-561,共3页
Chinese Journal of Medical Imaging Technology
