[1]黄祥忠,高峰,沈炜,等.经皮肝穿刺胆道引流术及胆管内支架植入术在恶性梗阻性黄疸治疗中的应用[J].介入放射学杂志,2009,(12):930.
　HUANG Xiangzhong,GAO Feng,SHEN Wei,et al.Application of percutaneous transhepatic biliary drainage and percutaneous transhepatic insertion of biliary stent in treating malignant biliary obstruction[J].journal interventional radiology,2009,(12):930.
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经皮肝穿刺胆道引流术及胆管内支架植入术在恶性梗阻性黄疸治疗中的应用()

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

卷:
期数:
2009年12期
页码:
930
栏目:
临床研究
出版日期:
2009-12-15

文章信息/Info

Title:
Application of percutaneous transhepatic biliary drainage and percutaneous transhepatic insertion of biliary stent in treating malignant biliary obstruction
作者:
黄祥忠; 高峰; 沈炜; 等
２１４４００江苏江阴东南大学医学院附属江阴医院介入科
Author(s):
HUANG Xiang－zhong; GAO Feng; SHEN Wei; REN Dong－qing; HAN Jin．
Department of Interventional Therapy，the Affiliated Jiangyin Hospital，Medical College of Southeast University，Jiangyin，Jiangsu Province２１４４００，China
关键词:
梗阻性黄疸; 介入治疗; 支架; 生物蛋白胶
分类号:
R７３５.７；R７３５.８
文献标志码:
B
摘要:
目的评价经皮肝穿刺胆道引流（PTBD）及胆管内支架植入术（PTIBS）治疗恶性梗阻性黄疸的疗效。方法对５６例恶性梗阻性黄疸患者采取PTBD或PTIBS，所有患者均经B超、CT或MRI 明确诊断，并确定梗阻部位，其中高位梗阻１９例，低位梗阻３７例。梗阻原因包括肝癌１４例，胆管癌１１例，胆囊癌５例，胃癌伴淋巴结转移１４例，壶腹部占位１例，胰头癌１１例。术中根据造影结果选择合适方案。结果所有５６例均成功完成手术。其中行PTBD１１例，PTIBS４０例，PTBD并PTIBS５例。TBIL由术前（２９５．６５±１５２．８６）μmol／L降至术后（１５１．０５±１０７．３６）μmol／L（P＜０．０１）。术后感染对黄疸消退有影响（P＜０．０１）。梗阻部位与黄疸消退情况比较差异无统计学意义（P＝０．０６３）。结论经皮肝穿刺胆道引流及支架植入术治疗恶性梗阻性黄疸安全有效，可明显减轻黄疸，改善患者生活质量，延长生存期。

参考文献/References:

［１］Iizuka T，Hoshihara Y，Hoteya O，et al．A case of gastric cancer presenting with obstructive jaundice and responding to biweekly CPT－１１and CDDP combination administration［J］．Gan To Kagaku Ryoho，２００６，３３：６５９－６６１．
［２］Qian XJ ，Zhai RY，Dai DK，et al．Treatmen

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备注/Memo

备注/Memo:
收稿日期：２００９－０６－２９
更新日期/Last Update: 2009-12-15