经皮肝穿刺胆道引流术介入治疗恶性胆道梗阻  

Interventional Treatment of Malignant Biliary Obstruction by Percutaneous Transhepatic Cholangial Drainage

作　　者：王彦华[1] 唐晓燕[1] 姜玉[2] 明艳[1] 王颖[3] 王松[1] 李子祥[1] 孙成建[1] 

机构地区：[1]青岛大学医学院附属医院介入放射科,山东青岛266003 [2]青岛大学医学院附属医院医学动物实验中心,山东青岛266003 [3]青岛市人民医院药剂科

出　　处：《实用放射学杂志》2006年第10期1260-1263,共4页Journal of Practical Radiology

摘　　要：目的探讨经皮肝穿刺胆道引流(PTCD)术和植入支架治疗恶性胆道梗阻的疗效及其并发症。方法75例恶性胆道梗阻的患者在DSA的引导下接受经皮肝穿刺胆道引流。结果37例单纯放了内外引流管,38例放置了胆道支架,其中9例为双支架,3例术后行经肝动脉化疗和/或栓塞。减黄总有效率达85.4%。支架阻塞5例。主要并发症:败血症3例,肝功能损害6例,肝动脉假性动脉瘤2例。结论PTCD术成功率高,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 therapeutic effects and complications for treatment of malignant biliary obstruction by percutaneous transhepatie cholangial drainage（PTCD） and implantation stents . Methods 75 patients with malignant biliary obstruction were received PTCD through the guidance of DSA. Results 37 patients were simply inserted internal - external catheter drainage . 38 patients were implanted biliary stents , including 9 patients with double biliary stents. 3 patients were performed with TAI and/ or TAE after operation. The total efficacy of alleviation jaundice was 85.4%. 5 cases of stents were obstruction. Complications included septicemia （ n = 3 ） , hepatic dysfunction （ n = 6） and false aneurysm of hepatic artery （ n = 2）. Conclusion The PTCD has high successful rate and the better effects of alleviation jaundice. It is simple , safe of palliative treatment for malignant biliary obstruction.

关 键 词：胆道 引流术 胆道梗阻 恶性 介入放射学 

分 类 号：R735.8[医药卫生—肿瘤] R815[医药卫生—临床医学]