摘要
笔者对１２例胆道梗阻病人进行了非手术治疗。其中，采用自制“Ｚ”型自张式金属支架（ＥＭＳ）成功地实施经皮经肝或经“Ｔ”型管胆道内支架引流术（ＥＭＢＥ）治疗者８例。８例中，胆道良性梗阻，“Ｔ”型管引流术后２例，胆道恶性梗阻６例。ＥＭＢＥ后，行“Ｔ”型管引流者当日即停止外引流；梗阻性黄疸病人症状迅速消失，黄疸逐日消退。术后随访观察１～１６个月。胆道发生再闭塞２例（１例经再置入一组ＥＭＳ及局部放疗后获得再通）。术后３个月无黄疸死亡１例，其余病例均无黄疸生存。其中１例已１６个月无复发。本组未出现严重的并发症及副作用。笔者认为ＥＭＢＥ操作简便，副作用少，疗效显著，是一种治疗梗阻性黄疸的比较理想的非手术方法。
patients with biliary obstruction were treated successfully by expandable metallic biliary endoprosthesis(EMBE) via percutaneous transhepatic approach or via T-tube.The Z-type expandable metallic stent was made by the authors.of the 8 patients treated ,2 were benign and 6 malig-nant obstructions.T-tube was removed after EMBE. Jaundice subsided gradually and symptoms re-lieved after the procedure. During 1～16 months follow up period ,reobstruction occurred in 2 cases (In one case recanalization was achieved by local radiotherapy and stent in stent),one case died 3 months after EMBE but without jaundice, the remaining patients were alive and without jaundice including one patient surviving for 16 months without obstruction。 No severe complications or side effects were ob-served.EMBE is relatively simple in operation and highly effective.It is an ideal nonoperative treatment for obstructive jaundice.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1994年第5期295-298,共4页
Chinese Journal of Radiology
关键词
介入放射学
胆汁淤积
胆道引流
Interventional radiology Bilary stasis Biliary drainage
