【作者】 张孟增； 路延平； 生玉现；

【Author】 Department of Radiology,The People’s hospital of Xing tai.He bei Province 054031,China ZHABG Meng-zeng LU Yang-ping Shen Yu-Xian

【机构】 河北省邢台市人民医院放射科 河北省邢台市人民医院放射科；

【摘要】 目的探讨恶性梗阻性黄疸患者介入治疗的近期疗效并进行分析。方法 34例恶性梗阻性黄疸患者,其中原发行肝癌14例,胆管癌8例,胰头癌4例,肝门淋巴结转移8例,行金属内支架置入术及经皮肝穿胆汁引流术。结果 19例行金属内支架置入术,15例行单纯外引流或内外引流术,术后胆红素平均下降(120.55±89.86)mmol/L,术后1个月、3个月、6个月的生存率分别为100%(34/34)、97.0%(33/34)、58.8(19/34)%。结论介入治疗恶性梗阻性黄疸方法简单,近期疗效确切,能延长患者生命。更多还原

【Abstract】 Objective To study and analyze the effect of interventional stent placement and biliary drainage in patients of malignant obstructive jaundic.MethodsT 34 consecutive patients with malignant perihilar biliary obstruction admitted were treated with percutaneous transhepatic biliary drainage(PTBD)or placement of metallic stents.Among them,14patients were found with primary liver carcinoma,8 with cholangiocarcinoma,4 with carcinoma of head of pancreas,8 with portal lymph node metastatic carcinoma..Results 15 patients with stents placement,and 19 patients with PTBD(including simple external drainage and combined internal and external drainage),The mean serum bilirubin decreased 120.55±89.86mmol/L after opearation,The survival rate 100%(34/34),97.0%(33/34),58.8(19/34)%after postoperative follow-up of 1 year,3 and 6months respectively.No other severe complicationwas found Conclusion. Interventional therapy is simple,safe,and effective for malignant perihilar biliary obstruction,the latter showed more significance than the former with short term satisfection.)更多还原