胆道支架联合经皮肝穿刺胆管引流术治疗恶性梗阻性黄疸的临床疗效
Chinese Journal of Gerontology(2016)
Abstract
目的:观察胆道支架联合经皮肝穿刺胆管引流术(PTCD)对晚期恶性梗阻性黄疸的临床应用价值。方法74例恶性梗阻性黄疸患者,均在 DSA 透视下经 PTCD 途径置入金属胆道支架。结果所有患者介入治疗后黄疸、皮肤瘙痒均明显减轻,术后胆红素水平显著下降( P<0.01),肝功能较前好转(P<0.01)。术后3个月生存率94.6%,6个月生存率60.8%,12个月生存率20.3%。结论胆道支架联合 PTCD可有效缓解恶性梗阻性黄疸患者的临床症状,改善肝功能,提高生活质量,延长生存期。
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