摘要
自从1974年经皮肝穿胆道引流术(PTBD)首次应用于缓解恶性梗阻性黄疸以来,经过近40年的发展PTBD在临床上应用越来越广泛,PTBD结合内植入支架、球囊扩张术已是解决恶性胆道梗阻的重要手段。此外,PTBD联合近距离的胆道内放疗及化疗也有利于提高患者的生存。本文着重在回顾PTBD发展、适应证、及治疗恶性梗阻黄疸现状、并发症做一综述。
Since the percutaneous transhepatic biliary drainage （PTBD） was first employed in 1974 to relieve he malignant biliary obstruction, it has been more and more widely used in the clinical practice for nearly forty years. PTBD combined with the stent implantation and/or percutaneous transhepatic balloon dilation has become an important means in treating malignant biliary obstruction. In addition, combination of PTBD with intraluminal brachytherapy and chemotherapy is also beneficial to the elongation of patient＇s survival time. This paper aims is to make a comprehensive review of PTBD, focusing on its technical development, indications, the current clinical status in treating malignant biliary obstruction and complications.
出处
《介入放射学杂志》
CSCD
北大核心
2013年第10期877-880,共4页
Journal of Interventional Radiology
关键词
经皮肝穿胆道引流术
恶性胆道梗阻
临床现状
percutaneous transhepatic biliary drainage
malignant biliary obstruction
current clinical status
