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目的:探讨超声内镜在辅助治疗恶性梗阻性黄疸中的临床价值.方法:回顾性分析我中心2010-02/2013-08超声内镜在105例恶性梗阻性黄疸患者中的临床效果.结果:105例患者行超声内镜检查均考虑恶性梗阻性疾病,61例置入金属支架,39例置入塑料支架,3例患者行放置鼻胆管引流(endoscopic nasobiliary drainage,ENBD)引流,2例患者行经皮经肝胆管引流术(percutaneous transhepatic cholangial drainage,PTCD)治疗,十二指肠镜逆行胆胰管造影(endoscopic retrograde cholangiopancreatography,ERCP)操作成功率98.1%(103/105).治疗后患者临床症状均见明显缓解,复查肝功能明显改善.术后高淀粉酶血症3例,轻度胆管炎2例,急性胰腺炎3例,并发症发生率7.62%(8/105),随访1-18 mo(平均6.8 mo±5.3 mo),半年生存率63.8%(67/105).结论:超声内镜辅助治疗恶性梗阻性黄疸微创、有效.
Objective: To investigate the clinical value of endoscopic ultrasonography in adjuvant treatment of malignant obstructive jaundice.Methods: The clinical results of 105 cases of malignant obstructive jaundice in our center from February 2010 to August 2013 were retrospectively analyzed.Results: 105 patients underwent endoscopic ultrasonography to consider malignant obstructive disease, 61 patients were placed in metal stents, 39 patients were placed in plastic stents, 3 patients underwent endoscopic nasobiliary drainage (ENBD) drainage, 2 patients Percutaneous transhepatic cholangial drainage (PTCD) and endoscopic retrograde cholangiopancreatography (ERCP) showed a success rate of 98.1% (103/105) .All the patients with clinical symptoms See obvious relief, review of liver function was significantly improved in 3 cases of high amylase, 2 cases of mild cholangitis, acute pancreatitis in 3 cases, the incidence of complications 7.62% (8/105), followed up for 1-18 months (Mean 6.8 mo ± 5.3 mo), and the half-year survival rate was 63.8% (67/105) .Conclusion: Endoscopic ultrasonography is an effective and effective method for the treatment of malignant obstructive jaundice.