论文部分内容阅读
目的 :探讨内镜下胆道支架对恶性梗阻性黄疸的治疗效果和临床应用价值。方法 :选择 2 5例无法手术根治性切除的恶性胆道梗阻患者 ,内镜下放置胆道支架。结果 :2 5例放置胆道支架均获成功 ,术后二周内血清胆红素恢复正常 17例 ( 68%) ,明显减退 8例 ( 3 2 %) ,2例 ( 8%)发生胆管炎。随访 6个月 ,4例死亡 ,9例发生支架阻塞再行支架置换术 ,3例失访。结论 :内镜下胆道支架可有效缓解恶性胆道梗阻病人的病情 ,具有创伤小 ,并发症少 ,符合生理等特点 ,对无法手术根治性切除的恶性胆道梗阻病人 ,内镜下放置胆道支架是最佳的首选治疗方法
Objective: To investigate the therapeutic effect and clinical value of endoscopic biliary stents on malignant obstructive jaundice. Methods: Twenty-five patients with malignant biliary obstruction who could not be surgically removed by surgery were enrolled in this study. Biliary stents were placed endoscopically. Results: Twenty - five cases had successful biliary stents. Serum bilirubin returned to normal in 17 cases (68%) within 2 weeks after operation. There were 8 cases (32%) and 2 cases (8%) cholangitis. After 6 months follow-up, 4 patients died, 9 patients underwent stent-graft replacement and 3 patients lost follow-up. Conclusion: Endoscopic biliary stents can effectively alleviate the condition of patients with malignant biliary obstruction, with less trauma, fewer complications and physiological characteristics. For patients with malignant biliary obstruction who can not be surgically removed, endoscopic biliary stents are the most Good choice of treatment