摘要
目的探讨内镜下逆行胰胆管造影(ERCP)置放胆道支架对恶性胆道梗阻的疗效及并发症的防治。方法选择2002年3月至2009年7月该院收治的无法手术切除或不愿手术的恶性胆道梗阻患者46例,通过ERCP放置内置支架引流。观察其操作成功率、退黄效果、并发症发生情况及其防治效果、支架通畅期及患者生存期等。结果 44例患者均成功通过ERCP置入胆道内置引流管,成功率为95.7%;所有成功患者术后7 d黄疸明显减退(P<0.01);支架平均通畅期为159 d,患者平均生存期为231 d。结论 ERCP行胆道内置支架引流创伤小,通畅性能好,可有效缓解病情,并发症少,可持久有效地控制黄疸,改善全身情况,延长恶性胆道梗阻患者的生存期。
Objective To analyze the effect of biliary stent built in by ERCP on malignant biliary obstruction and complication prevention.Methods By studying on the drainage by using bikiliary stent built in by ERCP in 46 cases of patients with malignant biliary obstruction,which was impossible to cut off or the patients was not willing to take the operation from Mar.2003 to Jul.2009,observe their operation success rate,Tuihuang effect,the incurred complications,prevention effect of complications,stent patency period and survival period.Results Forty-four patients were successfully placed by ERCP biliary drainage tube,the success rate is 95.7%;the jaundice of all the patients with the successful operation has decreased significantly（P0.01）;the average patency period of stents were 159 days,the average survival period of patients is 231 days.Conclusion Drainage with the biliary stent built in by ERPCA leads to less injure,good unobstructed performance,less complication and can effectively alleviate the patient＇s condition,control the jaundice effectively,improve the general condition of the patients and extent their survival period.
出处
《重庆医学》
CAS
CSCD
北大核心
2011年第25期2549-2551,共3页
Chongqing medicine
