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目的 评价介入治疗梗阻性黄疸的临床价值。方法 2 4例梗阻性黄疸患者 ,其中恶性胆道梗阻2 1例 ,胆石症术后胆道狭窄 3例 ,均经皮肝穿刺胆道造影后 ,根据病情及经济条件 ,单纯行PTCD6例 ,胆道内支架置入 18例 ,其中网状支架 13枚 ,Z形支架 5枚。结果全组技术成功率 10 0 % ,介入治疗后 7~ 15d复查血清总胆红素由术前的 (45 4.93± 6 4.5 2 ) μmol/L降至 (6 6 .94± 8.4 5 ) μmol/L ;转氨酶由术前的 (2 6 5 .6 7± 30 .0 9)u/L降至 (5 6 .2 1± 8.73)u/L ,治疗前后疗效有非常显著性差异 (P <0 0 1) ,黄疸、皮肤瘙痒等临床症状逐渐缓解 ,无严重并发症发生。结论介入治疗梗阻性黄疸疗效非常显著 ,技术操作简便 ,成功率高、痛苦小、安全性好 ,是一种比较理想的非外科手术方法
Objective To evaluate the clinical value of interventional treatment of obstructive jaundice. Methods Twenty-four patients with obstructive jaundice, including 21 cases of malignant biliary obstruction and 3 cases of biliary stricture after cholelithiasis, were treated with percutaneous transhepatic cholangiography. According to the condition and economic conditions, PTCD alone was performed in 6 cases, Into 18 cases, of which 13 mesh stent, Z stent 5. Results The technical success rate of the whole group was 100%. The serum total bilirubin was decreased from (45 4.93 ± 6 4.5 2) μmol / L to (6 6 .94 ± 8.4 5) μmol / L preoperatively 7 ~ 15 days after interventional treatment. L; the aminotransferase decreased from (2665.7 ± 30.0) u / L to (56.21 ± 8.73) u / L preoperatively, with significant difference before and after treatment (P <0 0 1), jaundice, pruritus and other clinical symptoms gradually eased, no serious complications. Conclusion Interventional treatment of obstructive jaundice has significant curative effect, simple operation, high success rate, little pain and good safety, which is an ideal non-surgical method