摘要
目的 探讨微创减黄治疗用于改善老年胃癌术后恶性梗阻性黄疸患者生存质量的价值。方法 对12例老年胃癌术后恶性梗阻性黄疸患者采用经皮经肝胆管穿刺引流胆道金属支架放置行微创减黄治疗。结果 12例胆管穿刺及金属支架放置均获成功,术后黄疸逐渐消退、肝功能好转至正常,生存质量明显提高,除1例术后1周因心衰死亡外,余均获缓解,1年生存率为25%（3/12）,2年生存率为8.3%（1/12）。并发症发生率为25%（3/12）,其中胆道出血1例,胆道感染2例。结论 微创减黄治疗经皮经肝胆管穿刺引流胆道金属支架放置实为安全有效的治疗方法。
Objective To explore the clinical of value minimally invasive therapy for elderly gastric carcinoma patients with malignant obstructive jaundice after gastrectomy in improving the survival quality.Methods 12 gastric caecinoma patients with malignant obstructive jaundice after gastrectomy were treated by percutaneous transhepatic cholangial drainage（PTCD） plus biliary stenting.Results 12 patients were successfully accomplished the procedure of bile duct puncture and stenting.The life quality of 11 patients was promoted in varying degrees proved by reduced jaundice and normalization with transaminase level.One patient died of cardiac failure in a week.The one-year survival rate was 25%（3/12）,tow-year survival rate was 8.3%（1/12）.Complications occurred in 25%of patients,including 1 case of hemobilia,and 2 cases of cholangitis.Conclusion The minimally invasive therapy of PTCD plus biliary stenting provided safe and effective bile drainage for elderly patients with malignant obstructive jaundice.
出处
《中国基层医药》
CAS
2012年第21期3204-3205,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
胆汁淤积
胃肿瘤
支架
穿刺术
老年人
Cholestasis
Stomach neoplasms
Stents
Punctures
Aged
