胆道支架置入联合内外放疗治疗恶性阻塞性黄疸的中远期临床观察  

Clinical observations of treatment of malignant obstructive jaundice by combining biliary stent implanted with inner and outer radiotherapy in mid-long term

作　　者：吴海江[1] 李国均[1] 曹驰[1] 李浩[1] 程隆[1] 管峦[1] 

机构地区：[1]徐州市中心医院介入科,江苏省221009

出　　处：《中华消化病与影像杂志（电子版）》2017年第2期57-59,共3页Chinese Journal of Digestion and Medical Imageology(Electronic Edition)

摘　　要：目的研究胆道支架置入结合后装腔内放疗加适形治疗恶性阻塞性黄疸的中远期疗效。方法对2003至2006年徐州市中心医院30例恶性阻塞性黄疸病例的资料进行分析,采用随机数字表法分为综合组(胆道支架置入+后装腔内放射疗法+适形放射疗法)15例,对照组(单纯胆道支架置入)15例,随访2组的生存率。结果综合组3、4、5年生存率分别为26.67%(4/15)、13.33%(2/15)、6.67%(1/15)高于对照组0(0/15)、0(0/15)、0(0/15)。结论胆道支架置入后结合后装腔内放疗加适形治疗在中远期观察中是一种安全有效的方法。Objective To study clinical efficiency on the treatment of malignant obstructive jaundice by combining biliary stent implanted with brachytherapy and conformal radiotherapy in mid-long term.Methods The clinical data of 30 patients with malignant obstructive jaundice in Xuzhou Central Hospital from 2003 to 2006 were analyzed. Fifty patients（ synthetic group） were treated by biliary stent implanted, brachytherapy and conformal radiotherapy, and 15 patients（ control group） were only treated by biliary stent implanted. The survival rates of the two groups were followed up. Results The survival rates in 3 ,4 and 5 years in synthetic group were 26. 67% （4/15） , 13. 33% （2/15） ,0. 06% （ 1/15） respectively, higher than those in contral group 0（0/15） ,0（0/15）and 0（0/15）. Conclusion Combining biliary stent implanted with brachytherapy and conformal radiotherapy is a safe and effective way in mid-long term.

关 键 词：黄疸 阻塞性 支架 近距离放射疗法 

分 类 号：R730.5[医药卫生—肿瘤]