摘要
目的：分析经皮胆管引流与支架置入术治疗胆管狭窄的并发症及防治方法。材料与方法：本组４５例恶性梗阻性黄疸患者，８例行单纯经皮胆管引流术，２９例行胆管支架置入术，８例同时做了经皮胆管引流和支架置入。术前术后给以抗生素预防感染及止血药，镇静止痛药。结果：４５例经皮胆管引流和支架置入术者５例发生严重胆道感染，其中４例败血症，占总例数的１１％。５例中２例为单纯胆管引流，３例为胆管支架加引流者。单纯胆管支架置入术者均未发生感染。５例严重感染者选用足量敏感抗生素治疗，１例败血症治愈，４例死于严重感染所致的多脏器衰竭。４５例无１例发生大出血等其他严重并发症。结论：经皮胆管引流和支架置入术以胆道感染为常见严重并发症，积极预防和有效治疗胆道感染，是减少并发症提高手术成功率的关键。
Objective: To analyze the complications of percutaneous biliary drainage and biliary stent endoprosthesis in patients with biliary stenosis and to evaluate the ways to resolve the problems simultaneously.Materials and Methods:45 cases with malignant biliary obstruction were investigated, of these, 8 underwent PBD, 29 patients BSE, and remain 8 underwent both PBD and BSE. Antibiotics, hemostatics and analgesics were given before and after operation. Results:Among 45 patients who underwent interventional treatment, 5 (11%) suffered from severe cholangitis, and 4 (4/5) suffered from septicemia, of the 5 cases, 2 underwent PBD only, and 3 underwent combined BSE with PBD. No infection occurred in patients who underwent BSE only. 5 patients with serious infection received sufficient and sensitive antibiotics, as a result, 1 case with septicemia was cured, and 4 died of multiple organ failure caused by serious infection. No hemorrhage and other complications occurred in these patients. Conclusion: Cholangitis is one of the most common and severe complications in patients with PBD and BSE. Active prevention and effective treatment on time is very important and is the key to the success of operation.
出处
《临床放射学杂志》
CSCD
北大核心
1997年第6期368-370,共3页
Journal of Clinical Radiology
