经皮经肝胆管引流术与ERCP对接术治疗恶性梗阻性黄疸  

Butt joint of PTBD and ERCP -the treatment of malignant obstructive jandice

作　　者：刘迎娣[1] 王志强[1] 王向东[1] 杨云生[1] 令狐恩强[1] 孟江云[1] 

机构地区：[1]解放军总医院消化科,北京100853

出　　处：《现代肿瘤医学》2007年第2期215-216,共2页Journal of Modern Oncology

摘　　要：目的探讨经皮经肝胆管引流术(PTBD)与ERCP对接术治疗恶性肿瘤导致的梗阻性黄疸的技术特点和临床效果。方法总结因恶性肿瘤导致的梗阻性黄疸患者ERCP失败后,实施PTBD与ERCP对接胆道支架植入术的治疗方法与临床效果。结果17例PTBD与ERCP对接治疗恶性梗阻性黄疸均获得成功。其中采取右侧肝管穿刺8例,左侧肝管9例;一次性对接成功14例,分次进行3例;术后4天血清总胆红素水平下降46.89%;血清直接胆红素水平下降43.05%。主要并发症为围手术期的胆道感染。结论PTBD与ERCP对接术是治疗ERCP失败的恶性梗阻性黄疸的另一新方法,具有良好的临床应用价值。Objective： To study the technical method and clinical value of butt joint of PTBD and ERCP to the treatment of malignant obstructive jaundice. Methods： Seventeen patients with malignant obstructive jaundice were treated by butt joint of PTBD and ERCP after the ERCP failure. Results： All 17 cases were succeed. According to the PTBD drainage approach, 8 cases were from right side, and 9 from left side; 14 cases procedure of PTBD and ERCP butt joint were in one time, and 3 cases in another time; the serum total bilirubin decreased 46.89% in 4 days; direct bilirubin decreased 43.05%. The maincomplication was bile duct infection. Conclusion： Butt joint of PTBD and ERCP to the treatment of obstructive jaundice is a new method while ERCP failed , this method has good clinical value.

关 键 词：经皮经肝胆管引流术(PTBD) ERCP 对接术 恶性梗阻性黄疸 

分 类 号：R735.8[医药卫生—肿瘤]