摘要
目的研究PTCD和胆道金属支架植入对恶性梗阻性黄疸的临床疗效及其常见并发症的处理原则。方法通过154例行PTCD联合胆道金属支架置入术的恶性梗阻性黄疸患者病例进行回顾性分析。结果手术成功率100%术前肝功能的各项化验指标(ALT、AST、ALB)及黄疸指数较术后1周及2周明显降低,两者比较有统计学意义(p<0.05),术中、术后无大出血胆汁漏,气胸及腹膜炎等并发症,但有5例并发胆道感染,2例并发急性胰腺炎,经治疗后好转,无1例死亡;随访时间2月至1年,随访期间死亡42例,112例患者生存,支架或引流管阻塞34例。结论 PTCD联合胆道金属支架置入术是治疗恶性梗阻性黄疸的一种安全、有效、姑息治疗方法。
Objective To study the clinical efficacy of PTCD and biliary metal stent implantation for malignant obstructive jaundice and the treatment principle of common complications. Methods A retrospective analysis of 154 cases of malignant obstructive jaundice caused by PTCD combined with biliary metal stent implantation was per-formed. Results The success rate of operation was 100%, and the indexes of liver function (AST, ALT) , jaundice index (ALB) and jaundice index were lower than that of 1 weeks and 2 weeks after operation ,and there was statistical significance between two groups(P<0.05), There were no hemorrhea, bile leakage, pneumothorax and peritonitis and other complications after operation, But there were 5 cases of biliary tract infection, 2 cases of acute pancreatitis, 1 cases of improvement, no case of death; During the period of follow up for 2 months to 1 year, 42 patients died, 34 cases were blocked by stent or drainage tube. Conclusions PTCD combined with biliary metal stent implantation is a safe, effective and palliative treatment for malignant obstructive jaundice.
出处
《实用医学影像杂志》
2015年第6期476-478,共3页
Journal of Practical Medical Imaging
关键词
黄疸
阻塞性
支架
疗效比较研究
引流术
Jaundice,obstructive
Stent
Comparative effectiveness reseach
Drainage
