【摘要】 目的对比内镜双金属支架和塑料支架引流治疗晚期肝门部胆管恶性梗阻的安全性和疗效。方法回顾性分析2007年1月至2013年10月收治的41例采用内镜支架引流治疗的晚期肝门部胆管恶性梗阻的临床资料。结果双金属支架相对于单塑料及双支架有更长的支架通畅时间(187±10 d vs 139±8.8 d;P<0.05)。两组之间的术后并发症比较无明显统计学差异。双金属支架可以明显增加肝脏的容积。结论采用内镜双金属支架引流治疗晚期肝门部胆管恶性梗阻是安全可行的,同时可以明显改善肝脏的功能。更多还原

【Abstract】 Objective To compare the effects and safety of double endoscopic biliary stents placement with double plastic stents on unresectable malignant biliary obstruction. Methods The clinical data of 41 patients with obstructive jaundice due to advanced carcinoma who were treated with biliary stent from January 2007 to December 2013 were retrospectively analyzed. Results Compare with double plastic stent,the double endoscopic biliary stents placement has longer stent patency(187 ± 10 d VS. 139 ± 8. 8d;P < 0. 05). Moreover,the bilateral metal stents has significantly increased liver volume compared with bilateral plastic stents. There is no significant difference of complication rate between two groups. Conclusion Compare with double plastic stent,the double endoscopic biliary stents placement could effectively extinct jaundice for patients with unresectable biliary obstruction caused by malignant neoplasm and improved the life quality.更多还原