摘要
目的探讨经皮肝穿刺胆道引流术(PTCD)在恶性梗阻性黄疸治疗中的治疗效果;比较各种引流方法及有无后续治疗,生存期有无差别。方法对60例行PTCD治疗的恶性梗阻性黄疸患者的临床资料进行回顾性分析,其中胆管癌20例,胆囊癌8例,肝癌8例,肝转移癌7例,胰头癌17例。结果 60例患者成功实施PTCD。术后患者黄疸、皮肤瘙痒等临床症状明显缓解,血清胆红素和转氨酶较术前显著下降。胆道支架组平均生存时间较单纯胆道外引流组平均生存时间延长。行后续治疗组[行动脉插管化疗灌注(TACE)或栓塞术(TAI)]平均生存时间明显延长。结论 PTCD姑息治疗恶性梗阻性黄疸是一种安全、有效的介入治疗方法。
Objective To explore the clinical value of percutaneous transhepatic cholangiography and drainage(PTCD)in treatment of malignant obstructive jaundice.To verificate the therapeutic efficacy of the inter ventional method for treatment of malignant obstruction jaundice;to compare the curative rate and life span difference between stented group and non-stented group;to compare the curative rate and life span difference between PTCD/stenting and PTCD/stenting combined with TAI/TACE.Methods Sixty cases of maligna...
出处
《实用医技杂志》
2010年第6期518-519,共2页
Journal of Practical Medical Techniques
