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[目的]探讨胆道支架植入术和(或)经皮肝穿刺胆道引流术(PTCD)治疗恶性胆道梗阻的疗效及其并发症。[方法]选择诊断明确的28例恶性胆道梗阻的患者,在DSA引导下接受经皮肝穿刺胆道支架植入术和(或)经皮肝穿刺胆道引流术(PTCD)。[结果]25例放置了胆道支架,共用支架26只,其中1例为双支架,3例行外引流,4例术后行经肝动脉化疗和(或)栓塞。减黄总有效率达85.5%。主要并发症:肝功损害2例,腹腔出血1例,支架再阻塞2例。[结论]支架植入术和(或)经皮肝穿刺胆道引流术(PTCD)成功率高,支架置入比例高,同时减黄疗效好,是姑息性治疗恶性胆道梗阻安全简单的治疗方法。
[Objective] To investigate the efficacy and complications of biliary stenting and / or percutaneous transhepatic biliary drainage (PTCD) in the treatment of malignant biliary obstruction. [Method] Patients with definite diagnosis of malignant biliary obstruction were selected and underwent percutaneous transhepatic biliary stenting and / or percutaneous transhepatic biliary drainage (PTCD) guided by DSA. [Results] Twenty-five biliary stents were placed in total. Twenty-five scaffolds were scaffolds, of which 1 was a double stent, 3 patients underwent external drainage and 4 patients underwent transcatheter arterial chemoembolization and / or embolization. Reduce the total effective rate of 85.5%. The main complications: liver damage in 2 cases, 1 case of intra-abdominal hemorrhage, stent occlusion in 2 cases. [Conclusion] Stent implantation and / or percutaneous transhepatic biliary drainage (PTCD) have a high success rate, high stent implantation rate and good curative effect of reducing yellow, which is safe and simple for palliative treatment of malignant biliary obstruction.