摘要
目的探讨经皮肝穿刺胆道引流及支架植入治疗恶性阻塞性黄疸的疗效。方法28例恶性阻塞性黄疸患者采用经皮肝穿刺胆道引流及支架植入治疗。结果28例患者中,27例一次行支架植入成功,1例因导丝不能通过狭窄先行外引流1周后再行支架植入成功;共植入金属支架31枚。1例发生少量胸腔积液,2例因外引流量大未能拔除外引流管。结论经皮肝穿刺胆道引流及支架植入治疗恶性阻塞性黄疸创伤小,患者耐受性较好,并发症少,并能提高患者的生活质量。
Objective To evaluate the efficiency of percutaneous drainage and stenting for treatment of malignant obstructive jaundice. Methods Twenty-eight patients with malignant obstructive jaundice were treated with drainage and stenting by the way of percutaneous transhepatic insertion. Results Twenty-seven of the 28 patients were performed successfully. Only one patient,due to the guide wire couldn＇t go straight through the obstructive position,was treated by external drainage for a week before inserting a metal stent. Thirty-one stents were inserted into the 28 patients. One patient suffered little pleural effusion after operation. Two cases had to maintain their drainage catheter because of much bile extra-drainage. There was not any other complications occured. Conclusion Percutaneous drainage and stenting is micro-invasive and effective in the treatment of malignant obstructive jaundice. The patients had a good tolerance and fewer complications. The simple procedure for resolving biliary obstruction could effectively improve the patient＇s quality of life.
出处
《江西医学院学报》
CAS
2007年第6期59-60,62,共3页
Acta Academiae Medicinae Jiangxi
关键词
阻塞性黄疸
恶性
金属支架
治疗
obstructive jaundice, malignancy
metal stent
therapy
