合理选择介入方式治疗高位胆道梗阻的探讨
Chinese Imaging Journal of Integrated Traditional and Western Medicine(2009)
Abstract
目的: 探讨高位胆道梗阻介入治疗方法的选择及临床疗效.方法: 2005年1月~2008年1月,我科治疗高位胆道梗阻患者45例.13例行胆道内外引流加支架置入术,17例行支架置入后肝动脉化疗和/(或)栓塞,6例行单纯经皮胆道内外引流,3例行射频治疗后置入胆道支架,3例肝动脉栓塞后置入支架,2例行单纯射频治疗,1例行肝动脉灌注化疗栓塞.结果: 39例患者术后1周黄疸减轻或消失(总胆红素<100 μmol/L),总有效率87%;患者术后生存时间1~17月,平均7.2月;术后出现胆道感染5例,胆道出血3例,胆汁性腹膜炎1例,均经保守治疗后好转.结论: 根据具体情况选择合理的介入治疗方法能够有效治疗高位胆道梗阻,减轻黄疸,改善患者生活质量,延长生存时间.
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Key words
Biliary drainage,Biliary obstruction,Stenting plasty
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