经内镜胆道支架置入术治疗胆道恶性梗阻性疾病  

Endoscopic biliary stent placement for malignant biliary obstructive

作　　者：束庆文[1] 夏飞[2] 刘太平[1] 汪全红[1] 章安庆[3] 钱爱玲[1] 徐正富[1] 叶献词[1] 

机构地区：[1]安徽省铜陵市人民医院消化内科,安徽铜陵244000 [2]安徽省铜陵市人民医院普外二科,安徽铜陵244000 [3]安徽省铜陵市人民医院普外一科,安徽铜陵244000

出　　处：《安徽医药》2009年第11期1369-1370,共2页Anhui Medical and Pharmaceutical Journal

基　　金：安徽省铜陵市2007年度应用技术研究与发展资金项目(No铜科[2007]57号)

摘　　要：目的探讨经内镜胆道支架置入术治疗胆道恶性梗阻性疾病的临床应用价值。方法对8例胆道恶性梗阻性疾病患者行内镜下胆道支架置入治疗,并对其临床效果、并发症等进行分析。结果8例患者中置管成功6例,置管成功率75%。成功的6例中血清总胆红素由术前的(288.5±104.6)μmol.L-1下降为术后1周的(132.7±92.4)μmol.L-1,其中术后1周血清总胆红素下降程度≥1/2术前水平4例,<1/2术前水平2例。术后发生高淀粉酶血症2例。术后37 d死亡1例,术后不到1个月随访期1例。其余生存期超过3月4例,超过6月3例。结论经内镜胆道支架置入术是治疗胆道恶性梗阻性疾病的有效方法,创伤小、经济、安全,可有效提高患者生存时间和生活质量。有良好的临床应用价值。Aim To evaluate the clinical value of endoscopic biliary stent placement in treating malignant biliary obstructive. Methods The endoscopic retograde biliary drainage was used in therapy of 8 cases for malignant obstructive of bile duct. The clinical result and complication of it were analyzed. Results 6 out of the 8 （75%） cases were successful placement. Serum total bilirubin dropped from（288.5 ± 104.6）μmol · L^-1 to （ 137.2 ± 92.4） μmol · L^-1 and reduction in the level≥1/2 were 4 cases and 〈 1/2 were 2 cases at one week postop- eratively in 6 cases of successful placement. Conclusion Endoscopic placement of biliary stent is effective treatment for malignant biliary obstructive with advantages of a small damage,safety and least cost. It is possible to remain their lifetime and improve the life quality.

关 键 词：胆道恶性梗阻 支架 内镜 治疗 

分 类 号：R735[医药卫生—肿瘤]