B超对恶性肝门部胆管梗阻应用经皮经肝自膨式金属内支架疗效的评价  

Evaluation of Expandable Metallic Biliary Endoprostheses under B-mode Ultrasound Guidance in Treatment of Malignant Hilar Biliary Obstruction

作　　者：杨秀华[1] 曲和平[1] 姜晓龙[1] 朱春兰[1] 韩淑芳[1] 樊淑梅[1] 

机构地区：[1]黑龙江省医院,佳木斯市中心医院

出　　处：《中国超声医学杂志》1996年第11期48-50,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：本文对１６例恶性肝门部胆管梗阻（ＭＨＢＯ）在超声引导下采用经皮经肝自膨式金属内支架（ＥＭＢＥ）治疗结果表明：①超声引导下行ＥＭＢＥ可避开肝内血管，且不受扩张胆管内径大小及走行方向的影响，一次性成功率高，负损伤小。②用Ｂ超监测肝内胆管径可观察胆管开通状况，作为衡量减黄效果的重要指标。③ＥＭＢＥ早期合并症少，术后生存期长，如加用放射疗法，可大大提高生存期。Sixteen patients with malignant hilar biliary obstruction were treated by expandable metallic biliary endoprostheses(EMBE)guided by B-mode ultrasound.The results were:(1)The treatment guided by US had a high success rate and minimal trauma and no adverse influence of hepatic vessels and the diameter and the distribution of bile duct.(2)The diameter of intrahepatic bile duct observed by US was an important indication of curative effect.(3)The complication of EMBE was few at the early stage.Radiation therapy could improve the survival rates.

关 键 词：消化系癌 胆管梗阻 金属内支架 B超 MHBO 

分 类 号：R735.7[医药卫生—肿瘤] R445.1[医药卫生—临床医学]