自展不锈钢支架在肝门部胆管癌治疗中的应用  

Self expandable stainless steel stents for the treatment hilar cholangiocarcinoma

作　　者：孙学英[1] 张鹏[1] 李克[1] 王占民[1] 李彩霞[1] 

机构地区：[1]山东医科大学附属医院普外科

出　　处：《中国普通外科杂志》1997年第1期9-11,共3页China Journal of General Surgery

摘　　要：肝门部胆管癌早期诊断困难，手术切除率低，多采用外引流的方法，存在引流不畅。逆行感染，生活不便等缺点。作者自行选材制成“Ｚ”形不锈钢自展支架，对４例无法手术切除的肝门部胆管癌病人行胆道支架放置术，术后短期随访效果良好。文章对胆道支架的种类、放置途径及优缺点、手术操作注意事项、技巧、并发症等问题进行了讨论。认为自制的不锈钢自展支架支架价格便宜，效果满意，是可供选择的方法之一；但由于本组病例少，尚需进一步积累经验。Hilar Cholangiocarcinoma is characterized by difficulty to diagnosis and low rate of resection. For most patients the aim of treatment is the palliative relief of biliary obstruction, thereby preventing pruritis, cholangitis and liver failure, but the use of externel catheters is associated with physical and psychological problems. Self expandable stainless steel stents were made by oursevles and placed in 4 cases of unresectable hilar cholangiocarcinoma, and initial results were satisfactory. Some problems were discussed in the paper such as types of stents, advantages and disadvantages, procedure, complications and so on. Authors experience shows that placement of self made stainless steel stents might provide good palliation in patients with hilar cholangiocarcinoma. However, as the number of cases in this series was small and the follow up period was short,so extended studies and follow up are needed.

关 键 词：肝门部 胆管肿瘤 胆道支架 治疗 

分 类 号：R735.805[医药卫生—肿瘤]