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目的:探讨胆道支架在治疗梗阻性黄疸的应用价值。方法:对42例恶性梗阻性黄疸,行经皮肝穿胆道引流术(PTCD)后二次手术植入自膨式胆道支架。结果:42例恶性梗阻性黄疸均在X线引导下经皮穿刺胆道成功后植入内外引流管,引流(1～2)周后植入胆道支架。支架植入后患者全身症状明显改善,血清胆红素、谷丙转氨酶明显下降。结论:胆道支架植入术是良好的降低黄疸的姑息性治疗方法,在临床工作中应根据梗阻部位合理选择支架的植入。
Objective: To explore the value of biliary stents in the treatment of obstructive jaundice. Methods: Forty-two patients with malignant obstructive jaundice were treated with percutaneous transhepatic biliary drainage (PTCD) and then underwent self-expanding biliary stent. Results: Forty - two cases of malignant obstructive jaundice were implanted into the internal and external drainage tubes after percutaneous puncture of the biliary duct under the guidance of X - ray. The biliary stent was implanted after drainage (1-2 weeks). Patients with systemic symptoms improved significantly after stent implantation, serum bilirubin, alanine aminotransferase decreased significantly. Conclusion: Biliary stent implantation is a good palliative treatment for reducing jaundice. In clinical practice, stent implantation should be based on the obstruction site.