经皮肝穿胆道内外引流治疗恶性梗阻性黄疸  

Effect of pecutaneous transhepatic biliary internal external drainage in treatment of malignant biliary obstruction

作　　者：封光华[1] 蔡阳[1] 杨德琪[2] 陈虎[2] 金慧成[1] 余强宏[2] 朱玮[1] 王楚雄[2] 

机构地区：[1]杭州市第一人民医院普外科,310006 [2]杭州市第一人民医院放射科,310006

出　　处：《临床外科杂志》2002年第5期270-271,共2页Journal of Clinical Surgery

摘　　要：目的　评价经皮肝穿胆道内外引流术 (PTBIED)治疗恶性梗阻性黄疸的临床价值。方法　对 43例恶性梗阻性黄疸患者 ,进行了PTBIED治疗 ,其中肝门部转移癌 14例 ,胆囊癌 8例 ,胆管癌 8例 ,胰头癌 13例。结果　PTBIED成功率为 90 %。 40例血清总胆红素降至正常 ,3例下降不满意。术后 1个月内死亡 4例 ,6个月内死亡 2 0例 ,生存超过 12个月 13例。并发症为胆道活动性出血 8例 (18.6% ) ,败血症 10例 (2 3 .3 % ) ,胆道逆行感染 6例 (14 .0 % ) ,胆汁性腹膜炎 1例(2 .3 % )。Objective To evaluate the clinical value of percutaneous transchepatic biliary internal external drainage (PTBIED) in treatment of malignant biliary obstruction.Methods Forty-three patients with malignant biliary obstruction,including 14 cases with hilary metastasis cancer 8 with carcinoma of gallbladder,8 with hilary biliary cancer,13 with pancreatic cancer were treated with PTBIED.Results The technical success rate was 90%.The serum total bilirubin almost fell to normal level in 40 patients.Four cases (9.3%) died within 1 month, twenty (46.5%) cases died within 6 months,thirteen (30.2%) cases are still alive 12 months later.The complications cases mild hemobilia (8 cases,18.6%),bacteriemia(10 cases,23.3%),retrograde infection(6 included,14.0%).Conclusion PTBIED is an effective and safe therapeutic method for palliation of malignant biliary obstruction.

关 键 词：经皮肝穿 胆道内外引流 治疗 恶性梗阻性黄疸 

分 类 号：R657.4[医药卫生—外科学]