经皮肝胆道内支架和引流管置入术治疗阻塞性黄疸37例  

Percutaneous Placement of Biliary Stent and Drainage Catheters for Treatment of Obstructive Jaundice

作　　者：宋杰[1] 许虹[1] 唐家强[1] 李兴[1] 周石[1] 

机构地区：[1]贵阳医学院附属医院介入科,贵州贵阳550004

出　　处：《中国药业》2007年第15期52-53,共2页China Pharmaceuticals

摘　　要：目的回顾性分析经皮肝胆道内支架和引流管置入术治疗阻塞性黄疸的技术与疗效。方法对37例阻塞性黄疸患者采用经皮肝胆道内支架和引流管置入术。结果37例患者共置入22枚支架、15支外引流管,术后1周血清总胆红素(TBIL)从术前的(378.2±163.5)μmol/L降至(176.5±98.7)μmol/L(P<0.01);术后并发胆管炎2例,胆道出血2例,局限性胆汁性腹膜炎1例,支架再狭窄5例。30例随访,平均生存10.7月,10例仍存活。结论经皮肝胆道内支架和引流管置入术治疗阻塞性黄疸安全、有效,可明显缓解黄疸,改善肝脏功能,延长患者生命。Objective To introduce the techniques of pereutaneous placement of biliary stem and drainage catheters for me treatment of obstructive jaundice and to evaluate their therapeutic effect. Methods Pereutaneous placement of biliary stem and drainage catheters were performed in 37 patients with obstructive jaundice, with mean age of 62 years old. Results Twenty- two stents and fifteen external biliary drainage catheters were placed in 37 patients. The serum total bilirubin decreased from （378. 2± 163. 5） μmol/L before the procedure to （176. 5 ±98.7）μmol/L one week after the procedure （P 〈0. 01）. The complications occurred： bile ductitis in 2, bile-duct bleeding in 2, bile-abdomentis in 1, stent re-stenosis in 5.30 were followed up with an average of 10. 7 months, including 10 patients alive. Conclusion The percutaneous biliary stenting and drainage catheters are safe and effective palliative therapies in the patients with obstructive jaundice. It can alleviate jaundice and improve the liver function with longer survival rate.

关 键 词：介入性 内支架 胆管阻塞 

分 类 号：R575[医药卫生—消化系统]