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作 者:许林锋[1] 陈耀庭[1] 张靖[1] 陈斌[1] 崔斌 杨志刚[3]
机构地区:[1]广州中山大学附属第二医院介入放射科,510120 [2]广东省佛山市顺德区人民医院放射科 [3]广东省中医院放射科
出 处:《临床放射学杂志》2007年第9期911-913,共3页Journal of Clinical Radiology
摘 要:目的探讨新型T/Y型胆管金属支架系统在肝门部恶性胆管梗阻中的临床应用价值。资料与方法对15例临床确诊为肝门部恶性胆管梗阻的患者先行单侧或双侧经皮肝胆管穿刺引流术(PTCD),再根据双侧肝内胆管的夹角置入"T"型或"Y"型胆管金属支架。结果15例均成功置入支架,其中单侧置入呈"T"型12例,双侧置入呈"Y"型3例。术后患者黄疸指数、胆管扩张状况均有不同程度改善,实现了内引流,未出现与支架置入相关的严重并发症。术后3~5天复查,胆管造影示支架系统几乎完全展开。结论T/Y型胆管支架在肝门部恶性胆管梗阻治疗中具有操作简便、创伤小及内引流效果好的优点。Objective To investigate the clinical value of a new T or Y type stent in patients with hilar malignant obstructive jaundice. Materials and Methods 15 cases with hilar malignant obstructive jaundice were performed with unilateral or bilateral PTCD and then were implanted T or Y type stcnt according to the branch angle of the left and right hepatic ducts. Results The successful rate of PTCD and implantation of T ( n = 12) or Y( n = 3) type stent were 100%, Icterus index and cholangiectasis were improved obviously after stentt implantation, and the internal drainage was made. There were no serious complications directly related to the stentt insertion. Follow-up cholangiograms on 3 to 5 days after stent im- plantation showed that the stent system was adequately decompressed in all cases. Conclusion The treatment with a new biliary T or Y type stent is a less invasive, convenient, and safe to achieve bilateral internal bile drainage in patients with hilar malignant obstructive jaundice.
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