恶性肿瘤胆肠吻合术后再发胆管梗阻的介入治疗  

The interventional treatment for recurrent obstruction of biliary tract after biliary-intestinal anastomosis in patients with malignant tumors

作　　者：闫如虎[1] 张万高[1] 陈大庆[1] 王前程[1] 徐允鹏[1] 吴媛媛[1] 

机构地区：[1]安徽中医学院第一附属医院,230031

出　　处：《实用医技杂志》2013年第9期936-938,共3页Journal of Practical Medical Techniques

摘　　要：目的探讨恶性肿瘤胆肠吻合术后再发梗阻的介入治疗方法。方法 12例恶性肿瘤胆肠吻合术后再发梗阻患者,12例均行经皮肝胆管引流术(PTCD),其中4例行胆道内支架置入术,比较介入手术前后总胆红素的变化。结果 12例PTCD及胆道内支架置入术均获得成功。术后1周总胆红素明显下降,黄疸消退满意,总有效率100%,显效率92%。结论PTCD及胆道内支架置入术治疗恶性肿瘤胆肠吻合术后再发梗阻具有创伤小、并发症少、适用范围广、疗效确切优点,值得推广。Objective To investigate the methods of interventional treatment for recurrent obstruction after biliaryintestinal anastomosis in patients with malignant tumors. Methods Twelve patients with malignant biliary tumors had recur-rent obstruction of biliary tract after biliarY-intestinal anastomosis, Percutaneous transbepatic cholangiodrainage （PTCD） were performed in all eases, and percutaneous biliary metal stents implantation were performed in 4 patients, the dynamic changes of TBIL value before and after the therapy were comparatively analyzed. Results The intervenfional therapy in 12 patients was successful. The jaundice symptoms of all patients were obviously alleviated, compared with pretherapy. Post-therapeatic TBIL value was significantly decreased and there was statistic difference. Conclusion The interventional therapy using pereutaneous transbepatic cholangiodrainage combined with implantation of metallic internal stent for recurrent obstruction of biliary tract after biliary-intestinal anastomosis has many advantages such as safety and simple procedure, less complications and satisfactory efficacy, and it is recommendable.

关 键 词：放射学 介入性 肝管肠吻合术 肝 胆汁淤积 

分 类 号：R657.4[医药卫生—外科学]