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目的:探讨经皮肝胆管穿刺金属内支架植入治疗恶性梗阻性黄疸临床应用价值。方法:108例患者中的97例均采用x线透视下经皮肝穿刺胆道内支架植入术治疗恶性梗阻性黄疸。根据梗阻部位的不同解剖决定放置支架的方式。结果:108例患者中,90例植入单支支架于肝总管或(和)胆总管,7例植入2支以上支架于总管和分支胆管,11例行外引流。全部患者2周内血清胆红素从(436±314)mol/L降低到(53±31)mol/L。结论:经皮肝穿刺内支架植入是治疗恶性胆道梗阻性的有效方法。
Objective: To investigate the clinical application value of percutaneous transhepatic biliary puncture metal stent implantation in the treatment of malignant obstructive jaundice. METHODS: Ninety-seven of the 108 patients underwent percutaneous transhepatic puncture with x-ray fluoroscopy to treat malignant obstructive jaundice. According to the different anatomy of the obstruction site, it is decided how to place the stent. RESULTS: Of the 108 patients, 90 cases were implanted with single stents in the common or common bile duct, 7 cases were implanted with 2 or more stents in the common and bifurcation ducts, and 11 cases were performed external drainage. Serum bilirubin decreased from (436±314) mol/L to (53±31) mol/L within 2 weeks in all patients. Conclusion: Percutaneous transhepatic stenting is an effective method to treat malignant biliary obstruction.