摘要
目的探讨经皮经肝胆管引流术(PTBD)与内镜下逆行胰胆管造影术(ERCP)对接胆道支架植入术治疗梗阻性黄疸的技术方法与临床应用价值。方法总结24例梗阻性黄疸患者ERCP治疗失败后,实施PTBD与ERCP对接胆道支架植入术的治疗方法与临床效果。结果24例PTBD与ERCP对接胆道支架植入术治疗梗阻性黄疸均获得成功。其中采取右侧肝管穿刺10例,左侧肝管穿刺14例;一次性对接成功16例,分次进行8例。术后4天血清总胆红素水平下降47·1%,血清直接胆红素水平下降45·4%。主要并发症为胆道感染。结论PTBD与ERCP对接胆道支架植入术是ERCP失败梗阻性黄疸治疗的另一途径,具有一定的临床应用价值。
Objective To study the technique and to evaluate the clinical value of stent implantation by butt joint of pereutaneous transhepatie biliary drainage （PTBD） and endoscopic retrograde eholangio-panereatography （ERCP） for the treatment of obstructive jaundice. Methods 24 patients with obstructive jaundice were treated by butt joint of PTBD and ERCP after the ERCP failure, and the clinical results were evaluated. Results A total of 24 cases with obstructive jaundice were successfully operated by butt joint of PTBD and ERCP. In PTBD, 10 cases were punctured from right side, and 14 cases were from left side. PTBD, ERCP and butt joint were done simultaneously in 16 cases, and separately in 8 cases. The total serurn bilirubin decreased by 47.07% in 4 days, and the direct bilirubin decreased by 45.43%. Infection of biliary tract was the main complication. Conclusion Stent implantation by butt joint of PTBD and ERCP for the treatment of obstructive jaundice may be chosen to treat the patients who failed in ERCP alone.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2006年第11期1101-1102,共2页
Medical Journal of Chinese People's Liberation Army
关键词
黄疸
阻塞性
经皮经肝胆管引流术
胰胆管造影术
内窥镜逆行
jaudice, obstructive
percutaneous transhepatic biliary drainage
cholangio-pancreatography, endoscopic retrograde
