摘要
目的:观察经皮肝穿自膨式胆道金属支架置入术对恶性梗阻性黄疸的疗效。方法:对125例恶性梗阻性黄疸患者进行回顾性分析,其中胰头癌50例,胆管癌35例,淋巴结转移癌20例,胆囊癌10例,壶腹癌10例,均采用经皮肝穿自膨式胆道金属支架置入术治疗。结果:技术成功率100%。125例患者,共放置140例支架,支架扩张良好,引流通畅,血清胆红素下降明显。术后死亡1例,腹水渗漏2例,胆道出血2例,胆管炎4例,胆道再阻塞5例。中位生存期190.2 d,术后存活3个月以上者88例,半年以上者52例,1年以上者13例,2年以上者4例。结论:自膨式胆道金属支架置入术是治疗恶性梗阻性黄疸安全、有效的姑息性治疗方法。
Objective： To observe the effect of self-expanded metallic stent implantment for malignant obstructive jaundice.Methods： All of 125 malignant obstructive jaundice patients,including pancreatic head cancer in 50 cases,cholangiocarcinoma in 35 cases,lymph node metastatic tumors in 20 cases,carcinoma of gallbladder in 10 cases and,carcinoma of Vater ampulla in 10 cases,were treated by self-expanded metallic stent implantation.Results： The technical successful rate was 100%.In 125 cases,140stents were implanted successfully.The stents expand finely and draining smoothly,serum bilirubin decreased obviously,1 cases died after the operation.hydroperitoneum percolated in 2 cases,hemobilia in 2 cases,cholangitis in 4 cases,and biliary tract blockage in 5 cases.Average survive was 190.2d,The 88 cases were alive more than three months,52 cases were alive more than half a year,13 cases were alive more than a year,4 cases were alive more than two years.Conclusion： The self-expanded metallic stent implantation is an effective and safe palliative therapy for malignant obstruction.
出处
《中国现代普通外科进展》
CAS
2012年第1期8-11,共4页
Chinese Journal of Current Advances in General Surgery
关键词
梗阻性黄疸
自膨式金属支架
介入治疗
Self-expanded metallic stent·Obstructive jaundice·Interventional therapy
