[1]谢宗贵,苑青龙,赵琦,等.经皮经肝内支架植入治疗恶性胆道梗阻(附35例报告)[J].介入放射学杂志,1998,(03):138-140.
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经皮经肝内支架植入治疗恶性胆道梗阻(附35例报告)()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
1998年03期
页码:
138-140
栏目:
临床研究
出版日期:
2000-01-01

文章信息/Info

作者:
谢宗贵;苑青龙;赵琦;易玉海;
济南军区总医院; 空军456医院; 肥城矿务局中心医院;
关键词:
恶性胆道梗阻 胆道支架 介入放射学
摘要:
目的:探讨国产金属胆道内支架治疗恶性梗阻性黄疸的疗效和安全性。材料和方法:恶性梗阻性黄疸病人35例,均采用经皮经肝途径植入胆道支架,其中16例采用两步法植入,19例采用一步法植入,5例同时施行了左肝管的球囊扩张术。结果:支架植入后即刻造影显示支架开通良好,内引流作用显著。血清胆红素水平降至正常者21例(60%),下降超过50%但未降到正常者7例,下降未过50%者3例,无改善者3例。3例病人术后一月内死亡,16例无黄疸生存6个月以上,半年生存率53.2%,3例生存12个月以上。8例病人半年内出现支架梗阻,占23.8%。一步法和二步法两种方法植入支架的病人住院天数和总的治疗费用统计学无显著性差异。结论:国产金属胆道内支架植入疗效显著,使用安全。

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更新日期/Last Update: 1900-01-01