单通道双支架置入治疗梗阻性黄疸的临床研究  

Analysis of double stents placed in treatment of patients with obstructive jaundice by one-sided biliary puncture

作　　者：李洪义[1] 何东风[1] 张启暝 

机构地区：[1]哈尔滨医科大学附属肿瘤医院介入科,黑龙江哈尔滨150000

出　　处：《现代肿瘤医学》2015年第8期1094-1096,共3页Journal of Modern Oncology

基　　金：黑龙江省教育厅科学技术研究项目(编号:11541221)

摘　　要：目的:观察单侧入路双支架植入术治疗左、右肝管同时受累梗阻性黄疸患者的疗效。方法:左、右肝内胆管同时受累的梗阻性黄疸患者7例,经皮经右肝或左肝单侧入路,通过在左、右肝管间和肝管、胆总管间植入金属双支架行胆管内引流。结果:7例14枚支架全部放置成功,总胆红素由术前的(324.4±221.7)μmol/L,降至术后1、2、4周的(263.9±147.2)μmol/L、(104.8±96.5)μmol/L、(43.6±34.3)μmol/L。直接胆红素由术前的(241.8±121.6)μmol/L,降至术后1、2、4周的(198.6±155.3)μmol/L、(92.4±81.7)μmol/L、(34.7±34.6)μmol/L。患者无严重并发症及死亡。结论:左、右肝管同时受累的胆管梗阻患者行单侧入路双支架植入技术治疗是一种安全、有效、可靠的治疗方法。Objective ：To evaluate the effect and value of double stentts in treatment of obstructions via one - sided biliary puncture. Methods： Intra - drainage for bilateral liver lobes were performed through double stents that placed percutaneously between right - left intrahepatic duct and hepatic - common duct via one - sided puncture in 7 pa- tients. Results：Fourteen stents were placed in 7 patients successfully. The level of total bilirubin was decreased from （324.4 ± 221.7 ） μmol/L to （263.9 ±147.2） μmol/L, （ 104.8 ±96.5 ） μmol/L, （ 43.6 ± 34.3 ）μmol/L one, two, four weeks after operation. The level of directive bilirubin was decreased from （241.8 ± 121.6） μmol/L to （ 198.6 ± 155.3） μmol/L, （92.4 ± 81.7） μmol/L, （34.7± 34.6） μmol/L one,two,four weeks after operation, and no severe complications and decease was found. Conclusion： Intra - drainage of bilateral hepatic ducts via one - sided puncture is a safe, effective, reliable technique in the treatment of obstructive jaundice.

关 键 词：梗阻性黄疸 单通道 双支架 疗效 介入治疗 

分 类 号：R730.8[医药卫生—肿瘤]