【摘要】 目的:探讨介入治疗梗阻性黄疸的临床价值。方法:23例梗阻性黄疸患者经皮穿刺胆管造影后行介入治疗,经皮肝穿刺胆管引流(PTCD)14例,PTCD+胆管内支架(PTIBS)9例、使用金属支架9枚。结果:22例黄疸消退满意,治疗后7 d血清总胆红素平均为198.4±84.6μmol.L-1,与治疗前相比有显著性差异(P<0.05);直接胆红素平均为127.6±50.5μmol.L-1,与治疗前相比有显著性差异(P<0.05)。1例效果不满意。结论:PTIBS和PTCD是姑息治疗梗阻性黄疸的安全而有效的方法。更多还原

【Abstract】 Objective: To study the clinical value of PTCD and percutaneous ransshepetic insertion of biliary stent(PTIBS) for treating malignant and benign obstruction.Methods: Twenty-three patients with biliary obstruction were treated with PTIBS or PTCD.A total of 9 biliary metallic stents were placed in 9 patients.14 cases were treated by PTCD.Results: In 22 cases,jaudice was reduced satisfactory.Conclusion: PTIBS and PTCD were effective and safe method in the treatment of biliary obstruction.更多还原