摘要
目的 探讨多支胆管梗阻介入性引流的方法及疗效。方法 2 1例多支胆管梗阻的患者根据不同情况 ,分别采用左右肝管同时植入支架内引流 (13例 )、左右肝管间植入支架经右肝管外引流(3例 )、右肝管支架内引流并左肝管外引流 (3例 )和右前叶肝管支架内引流并右后叶肝管外引流及左肝管内引流或外引流 (2例 )等内外引流技术进行治疗。结果 2 1例患者共植入胆道内支架 36枚 ,其中 35枚支架起到良好的内引流作用 ,1枚因位置不良无内引流作用。 19例患者胆道引流充分 ,黄疸完全消退。 2例患者黄疸未完全消退。结论 多种方式的胆道内外引流技术对大部分多支胆管梗阻患者治疗效果显著 ,值得进一步推广应用。
Objective To evaluate the methodology and effectiveness of interventional biliary drainage for patients with multiple biliary tract obstruction (MBO).Methods Twenty one patients with MBO caused by cholangiocarcinoma in 13 cases, primary hepatocellular carcinoma in 5 cases and porta hepatic metastases in 3 cases were included. According to types of biliary tract occlusion, we performed different combined interventional draining procedures. That is, thirteen cases were performed with right and left bile duct stent implantation respectively; three cases with stent insertion between left and right bile ducts and catheter for external draining in right bile duct; three cases with right bile duct stent placement and catheter for external draining in left bile duct; two cases with anterior right bile tract stent placement and posterior right bile tract for external draining while left bile duct for internal (one cases) or external (one case) draining. Results All together 36 stents were implanted in 21 patients. 35 stents have obtained satisfactory internal draining function and one stent hasn't shown function due to malposition. Jaundice disappeared completed in 19 of 21 cases, and disappeared incompletely in 2 cases. Conclusions Multiform biliary internal and/or external drainage is effective for most patients with MBO.
出处
《介入放射学杂志》
CSCD
2000年第4期225-227,共3页
Journal of Interventional Radiology
关键词
胆管梗阻
多发性
介入性治疗
胆道支架
胆道引流
Biliary obstruction, multiple
Interventional procedure
Transhepatic biliary drainage
Stent
