经皮胆道内外引流及支架置入治疗梗阻性黄疸
Journal of Diagnostic Imaging and Interventional Radiology（2004）
Abstract
目的总结经皮肝穿刺放置引流管及金属内支架作胆汁内、外引流的临床应用价值.方法23例梗阻性黄疸患者经皮肝穿刺胆道置管内外引流后,其中12例行胆道内支架置入术治疗.结果23例黄疸均消退满意,血清总胆红素由术前147.4～648.7μmol/L降至正常或接近正常.22例恶性梗阻3个月内死亡6例,半年内死亡8例,最长生存25月,中位生存期6个月.结论经皮肝穿刺胆道置管及内支架引流是姑息性治疗手术不能切除的梗阻性黄疸的有效方法.
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Key words
percutaneous transhepatic drainage,biliary obstruction
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