胆道支架在恶性胆道梗阻中的研究进展  

Advances in the study of biliary stents in malignant biliary obstruction

作　　者：廖俊 祖洪亮 Liao Jun;Zu Hongliang(First Clinical Medical College of Guangdong Medical University,Zhanjiang 524000,China;Department of Hepatobiliary,Pancreatic and Hernia Surgery,First People's Hospital of Zhaoqing Affiliated to Guangdong Medical University,Zhaoqing 526600,China)

机构地区：[1]广东医科大学第一临床医学院,湛江524000 [2]广东医科大学肇庆市第一人民医院肝胆胰疝外科,肇庆526600

出　　处：《国际肿瘤学杂志》2024年第11期728-733,共6页Journal of International Oncology

基　　金：广东省医学科学技术研究基金(B2021451)。

摘　　要：恶性胆道梗阻(MBO)是胆道处发生梗阻而引起胆汁排出受阻,导致皮肤黄染、瘙痒、肝功能受损表现,通常由胆管部、胰头部、壶腹部肿瘤或远处肿瘤转移侵袭压迫所致。因其症状隐匿性和恶性程度高,患者5年生存率极低,多数患者错失手术机会。逆行胰胆管造影联合胆道支架的内引流术在MBO姑息性治疗中具有重大优势。Malignant biliary obstruction(MBO)refers to the obstruction of the biliary tract,which usually causes obstruction of bile discharge,leading to skin yellow staining,itching,and impaired liver function.MBO can be caused by bile duct,pancreatic head,jugular tumor or distant tumor metastasis invasion and compression.Because of its insidious symptoms and high degree of malignancy,the 5-year survival rate is extremely low,and most patients miss the opportunity of surgery.Therefore,endoscopic retrograde cholangiopancreatography combined with internal biliary stents drainage has significant advantages in the palliative treatment of MBO.

关 键 词：恶性胆道梗阻 内镜下逆行性胰胆管造影 胆道支架 手术后并发症 

分 类 号：R65[医药卫生—外科学]