摘要
目的 观察经皮胆管内支架置入术姑息性治疗老年人多部位、多节段肝胆管恶性梗阻的效果。方法 8例老年人恶性梗阻性黄疸患者 ,经皮胆管造影后显示多部位多节段肝胆管梗阻。在经皮胆管内外引流或外引流充分后 ,行胆管内多支架置入。结果 8例老年患者成功置入 13枚内支架。术后总胆红素明显降低 ,肝功能基本恢复正常。随访半年 ,8例均存活。结论 经皮胆管内支架置入术为姑息治疗多部位、多节段肝胆管恶性梗阻的有效方法。
Objective To observe the short-term results of interventi on al therapy for elderly patients with multi-segment and multi-location malignan t biliary obstruction. Methods 8 patients over 60 with malign ant obstructive jaundice were received percutaneous cholangiography which showed multi-segment and multi-location bile duct obstruction. After drainage with P TBD to palliate jaundice, all patients were obtained PTBS. Results 13 stents were implanted in 8 patients. Serum total bilirubin (TB) was red uced from 165.8～236.1 μmol/L before operation to 76.6～92.5 μmol/L. Liver function recovered also. No complication occurred. 8 patients were survived aft er 6 months follow-up. Conclusion Interventional therapy is effective for multi-segment and multi-location malignant biliary obstruction.
出处
《实用临床医药杂志》
CAS
2004年第5期58-60,共3页
Journal of Clinical Medicine in Practice
关键词
内支架
肝胆管梗阻
interventional
bile duct obstruction
multi-segment
mult i-location
