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作者为确定可膨胀金属内支架治疗复发性化脓性胆管炎伴胆管良性狭窄的远期疗效及置入不同类型支架的初期开通情况的差异,给23例病人放置了26个胆道内支架并进行随访观察。男11例,女12例。年龄30~78岁。支架放置指征为:①既往有胆道手术史而再次手术可能困难。②球囊扩张失败。③患者拒绝手术或球囊扩张。21例行胆囊切除术、胆总管切开取石术或肝脏节段性切除术。15例多次行经皮取石网篮取石术,7例胆道狭窄行球囊扩张术失败。采用GRZ内支架19个,直径8~
To determine the long-term efficacy of expandable metal stents in the treatment of recurrent suppurative cholangitis with benign biliary strictures and the initial opening of different types of stents, 26 biliary stents were placed and followed up in 23 patients Observed. 11 males and 12 females. Age 30 ~ 78 years old. Scaffold placement indications: ① history of previous biliary surgery and surgery may be difficult. ② balloon dilatation failed. ③ patients refused surgery or balloon dilatation. 21 cases of cholecystectomy, common bile duct lithotomy or segmental resection of the liver. 15 cases of multiple percutaneous stone net lithotomy, 7 cases of biliary stricture balloon dilation failed. GRZ stent 19, diameter 8 ~