右侧单通道双支架技术治疗恶性高位胆道梗阻  

Single-channel dual stents in the treatment of malignant high biliary obstruction

作　　者：李顺宗[1] 武中林[1] 李智岗[1] 谷铁树[1] 王宁[1] 艾宁[1] 

机构地区：[1]河北医科大学第四医院放射科,河北石家庄050011

出　　处：《实用放射学杂志》2013年第8期1311-1313,共3页Journal of Practical Radiology

摘　　要：目的分析行侧单通道胆道双支架放置技术治疗恶性高位胆管梗阻的临床价值。方法56例肝门部胆管恶性梗阻患者，BismuthⅡ～Ⅳ型48例．打侧雌通道双支架放置29例，双通道双支架放置9例，其余10例单支架置入和／或胆道引流术。术后4周总胆红素下降≥50％为有效，并进行随访。结果（1）BismuthⅡ～Ⅳ型48例中单通道胆道双支架植入29例．成功率为60．42％。（2）右侧币通道肌道双支架机入、双通道胆道双支架植入、单通道胆道堆支架机入和／或胆道引流术，4周总胆红素下降牢分别为91．45％、90．23％、61．53％，有效率为100％。结论有侧单通道双支架植入技术比较双通道双支架植入简化了操作．减少了操作创伤及并发症．减少了医师的X线辐射剂量，具有明显的临床实用价值及可行性。Objective To evaluate the clinic value of right single channel biliary tract double stent placement technique in treating malignancy superior position obstruction of bile duct. Methods Among 56 patients of hepatic hilum bile duc malignant obstruction, 48 patients whh Bismuth II-IV type were enrolled in this study. 29 patients were performed right single channel biliary tract stent placemen,9 patients were placed dual pathways double stem and 10 cases were performed single stent placement and/or hiliary trac drainage. The utility was total bilirubin descending over 50% post operation 4 weeks, and follow-up. Results①29 Bismuth II -iV type patients were implanted double stands in right single channel, achievement ratio was 60.42%. ②4 weeks after operation, the 48 patients with Bismuth II-IV type descent significantly. The total bilirubin of right single channel biliary tract stent placement group decreased 91.45%, double channel hiliary tract double stent placement group decreased 90.23%, single channel biliary single tract stent placement and opposite side draining or hiliary tract external drainage group decreased 61.53%. The near future effective rate was 100%. Conclusion The right single channel biliary tract double stent placement technique in treating malignancy superior position obstruction of bile duct reduced the operation of intervention drainage in superior position ohslruction of bile duct, decreasing the operation wound and complication, decreasing the X-ray radiation dose on operation doctor, possessing apparente clinical practi- cal value and feasibility.

关 键 词：梗阻性黄疸 支架 疗效 介入治疗 

分 类 号：R575[医药卫生—消化系统] R815[医药卫生—内科学]