【摘要】 目的 :探讨晚期胰腺癌合并阻塞性黄疸及十二指肠梗阻的介入治疗方法 ,对供血动脉药物灌注及胆道支架、十二指肠支架植入的临床效果予以讨论。方法 :采用seldinger技术经股动脉插管胰腺供血动脉灌注化疗药物 ,经皮经肝穿刺植入胆道支架 ,经口经胃植入十二指肠支架。结果 :6例病人疼痛症状明显缓解 ,黄疸及十二指肠梗阻解除。结论 :动脉灌注化疗药物对降低肿瘤生长速度和减轻疼痛是一种可选择的有效方法 ,但对减小肿瘤体积、改善黄疸及十二指肠梗阻疗效轻微 ,经皮经肝植入胆道支架、经口经胃植入十二指肠支架可有效解除黄疸及十二指肠梗阻 ,改善症状、延长病人生存期。更多还原

【Abstract】 Objective: To investigate the clinical effect of intra-arterial infusion chemotherapy biliaru stent and duodenal stent in the treatment of advanced pancreatic carcinoma with obstructive jaundice and duodenal obstruction.Methods: Do intra-arterial infusion chemotherapy via fermal arteru to the pancreatic arteries by Seldingger technique, implant biliary stent by PTCD and implant duodenal stent through orifice and stomach.Results: There were 6 cases whose pain alleviated significantly and the jaundice and duodenai obstruction alleviated completely.Conclusion: To prohibit the increasing speed of the tumor growth and relieve the pain, intra-arterial infusion chemotherapy was an optional effective method.However, it was not effective to reduce the tumor mass and relieve jaundice.Implanting biliary stent by PTCD and implanting duodenal stent by orifice and stomach were an effective way to relieve jaundice and duodenal obstruction,alleviate symptoms and prolong the survival time.更多还原