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目的:探讨经皮肝穿刺引流及胆管支架置入对恶性阻塞性黄疸临床应用及操作方法。方法:对恶性肿瘤引起的阻塞性黄疸患者23例次,行经皮肝胆管穿刺引流及胆管置管。结果:23例患者均行经皮肝穿刺胆管引流,黄疸均明显减轻;为减少外引流的不良反应,行胆管支架置入术,术后生活质量明显改善。黄疸减退率100%。结论:经皮肝穿刺胆管内支架置入治疗是对恶性肿瘤所致阻塞性黄疸患者姑息治疗的有效方法。其操作方法值得深入探讨及掌握。
Objective: To investigate the clinical application and operation of percutaneous transhepatic puncture and biliary stenting for malignant obstructive jaundice. Methods: Twenty-three patients with obstructive jaundice caused by malignant tumors underwent percutaneous transhepatic biliary drainage and biliary catheterization. Results: All the 23 patients underwent percutaneous transhepatic biliary drainage and jaundice were relieved. In order to reduce the adverse reactions of external drainage, biliary stent placement was performed and the postoperative quality of life improved significantly. Jaundice reduction rate of 100%. Conclusion: Percutaneous transhepatic biliary stenting is an effective palliative treatment for patients with obstructive jaundice caused by malignant tumors. Its method of operation deserves further exploration and mastery.