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[目的]探讨覆膜支架在治疗梗阻性黄疸患者中的临床应用价值。[方法]选择梗阻性黄疸行胆道覆膜支架置入患者30例,随访1年,对其术后产生的并发症进行分析。[结果]30例手术成功率、有效率100%,胆道感染发生率10.0%,胆道出血发生率6.7%,胆囊炎发生率3.3%,胰腺炎发生率6.7%,支架滑脱、移位发生率10.0%,支架阻塞发生率6.7%。[结论]覆膜支架可以有效防止胆道再狭窄或闭塞;其滑脱、移位发生率较高;不易跨越胆囊管开口放置,可以跨越壶腹放置。
[Objective] To investigate the clinical value of stent-graft in the treatment of patients with obstructive jaundice. [Methods] Thirty patients with obstructive jaundice underwent stent placement of biliary tract were selected and followed up for one year. The complications after operation were analyzed. [Results] The success rate of operation in 30 cases was 100%, the incidence of biliary tract infection was 10.0%, the incidence of biliary tract bleeding was 6.7%, the incidence of cholecystitis was 3.3%, the incidence of pancreatitis was 6.7%, the incidence of stent slippage and displacement was 10.0 %, Incidence of stent occlusion 6.7%. [Conclusion] The stent-graft can effectively prevent restenosis or occlusion of the biliary tract. The incidence of slippage and displacement is high. It is difficult to place across the opening of the cystic duct and can be placed across the ampulla.