摘要
目的探讨记忆合金胆道支架置入在不能切除的肝门区胆管癌手术中的可行性和临床应用价值。方法1998年1月～2006年1月，我院对17例术中发现无法根治切除的晚期肝门部胆管癌，经胆总管切开置入记忆合金支架扩张闭塞或狭窄的胆管，完成胆汁内引流。结果17例放置支架术后2周内黄疸消退，经引流管造影显示胆道梗阻解除。16例随访4—30个月，平均11．5月，13例死亡（生存期4～20个月，平均11个月），3例分别已经存活10、12．5、30个月。结论对术中发现无法根治切除的肝门区胆管癌患者，记忆合金胆道支架置入术操作简单，能有效解除梗阻性黄疸，是一种较好的姑息治疗方法。
Objective To explore the feasibility and clinical value of metallic stent in the management of unresectable hepatic portal cholangiocarcinoma. Methods A study was investigated in 17 patients with unresectable hepatic portal cholangiocarcinoma from January 1998 to January 2006, A memory alloy biliary stent was placed into the obstructive bile duct for internal biliary drainage. Results Patients＇ jaundice disappeared within 2 weeks after the stent placement. Cholangiography via the drainage tube showed patent bile ducts, Follow-up surveys in 16 patients for 4 - 30 months （mean, 11.5 months） revealed a survival time of 4 -20 months （mean, 11 months） in 13 fatal patients. The remaining 3 patients had survived 10, 12, 5, and 30 months, respectively. Conclusions Placement of memory metallic biliary stent for patients with unresectable hepatic portal cholangiocarcinoma is an ideal palliative therapy, which is simple and effective for reducing jaundice.
出处
《中国微创外科杂志》
CSCD
2006年第12期933-934,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
肝门区胆管癌
梗阻性黄疸
记忆合金支架
Hepatic portal cholangiocarcinoma
Obstrutive jaundice
Memory metallic stent
