摘要
目的比较塑料内置管及金属内支架在胆管恶性梗阻引流中的疗效。方法全组患者105例，行鼻胆管或塑料内置管引流87例次，放置金属内置管31例次。结果鼻胆管或塑料内置管引流组，引流有效率82．8％，30天死亡率10．3％，平均通畅时间2．4月，平均生存期2．5月；金属内支架组，引流有效率90．3％，30天死亡率6．5％，平均通畅时间6．8月，平均生存期7．2月。结论对于胆管恶性梗阻，内镜引流术是一种安全实用的姑息治疗手段；金属内支架的疗效优于塑料管。
Objective To compare the safety and the clinical efficiency of plastic versus metal stent in the treatment of malignant binary obstruction. Methods This study included 105 patients. There were 87 endoscopic nasobiliary drainage or plastic binarystems and 31 expandable metal stems. Results The total effective rate of the plastic group was 82. 8%,lower than that of themetal (90. 3% ). The 30-day mortality rate was higher for plastics (10. 3% ) than metal stems (6. 5% ). The median patency forplastics (2. 4months) was shorter than that of the metal stems (6. smonths),and the median survival was 2. 5 monthgt.versus 7. 2months. Conclusion Use of endoscopic binary drainage appears to show a safe and useful management for malignare biliary obstruction,and the metal stent is much better.
出处
《肝胆外科杂志》
1999年第1期8-10,共3页
Journal of Hepatobiliary Surgery
