摘要
目的评价恶性梗阻性黄疸患者介入治疗的近期疗效。方法将 2 8例患者分 3个治疗组 ,对术后血清总胆红素下降程度、支架阻塞发生率及患者的生存时间进行回顾性分析。结果内涵管植入组 :60 %的患者获得了 3个月以上的通畅引流 ;术后 2周血清总胆红素下降率超过 50 %者2例 ,平均存活 4 5个月。胆道内支架植入组 :50 %患者获得 1 0个月以上的通畅引流 ;术后 2周血清总胆红素下降率超过 50 %者 6例 ;平均存活 6 5个月。胆道内支架植入 +动脉栓塞化疗组 :66 7%患者获得 1 0个月以上通畅引流 ;术后 2周血清总胆红素下降率超过 50 %者 7例 ;平均存活 8 8个月。结论金属内支架通畅率高 ,结合栓塞化疗 。
ObjectiveTo study the effect of interventional stent placement in patients of malignant obstructive jaundice(MOJ).MethodsTwenty eight MOJ patients were divided into three groups receiving endoscopic retrograde plastic stent placement, percutaneous transhepatic expandable stent placement (mental stent), and mental stent combined with intraarterial chemotherapy, respectively.Results Patent drainage lasted for over 3 mos in 60% of patients with plastic stent. The median survival was 4 5 months. In the group of mental stent placement drainage remained patent for over 10 months in 50% of patients, with a median survival of 6 5 months. Whereas in the group of combined intraarterial chemotherapy, 10 mos patency of the stent was 66 7% with a median survival of 8 8 months. ConclusionThe mental stent enables long patent drainage, and longer survival time.
出处
《中华普通外科杂志》
CSCD
北大核心
2002年第12期732-733,共2页
Chinese Journal of General Surgery
关键词
胆管肿瘤
胆汁郁积
介入性放射学
治疗
Bile duct neoplasms
Cholestasis
Ultrasonography, interventional
