摘要
目的：报道１９例经内镜胆管金属内支架引流术（ＥＭＢＥ）治疗恶性梗阻性黄疸。材料与方法：患者中原发性肝门部胆管癌１０例，转移性癌侵犯肝胆管癌９例。采用Ｗａｌｓｔｅｎｔ１７例，Ｓｔｒｅｃｋｅｒｓｔｅｎｔ２例，７～９Ｆ导管，支架长４．０～９．３ｃｍ。结果：成功率为８４．２％，失败３例次，未发现早期胆管炎等并发症，黄疸减退效果满意。结论：经内镜置胆管金属内支架是恶性胆管梗阻极有效的姑息性疗法之一。
Purpose:Toanalysesthe19casesofmalignantbiliaryobstructiontreatedbyinsert-ingmetalendoprosthese.Materialsandmethods:10casesofprimaryhilarcholangiocarcinomaand9casesofmetastaticcarcinoma(5casesofgalboldercarcinoma,2casesofcoloncarcinomaand2cas-esoftheheadofpancreaticcarcinoma)werereportedusingtheWalstentendoprosthesesin17pa-tientsandStreckerstentin2patients.Thecatheterwas7-9Fforastentwithalengthof4.0-9.3cm.Results:Thesucesfulrateofthefirstprocedureswas84.2%(17/19).After2weeks,signifi-cantdecreaseofalkalinephoshataseandbilirubinlevelswasobservedin17patientswithnocomplica-tions.Conclusion:Metalendoprosthesebyendoscopywasanefectivemethodinthetreatmentofmalignantbiliaryobstruction.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1996年第4期241-244,共4页
Chinese Journal of Radiology
