[1]唐 凡,任建庄,陈鹏飞,等.恶性胆道梗阻塑料支架植入后阻塞的介入治疗[J].介入放射学杂志,2021,30(12):1276-1281.
 TANG Fan,REN Jianzhuang,CHEN Pengfei,et al.Interventional treatment of biliary obstruction occurring after plastic stent implantation in patients with malignant biliary obstruction[J].journal interventional radiology,2021,30(12):1276-1281.
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恶性胆道梗阻塑料支架植入后阻塞的介入治疗()

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

卷:
30
期数:
2021年12
页码:
1276-1281
栏目:
临床研究
出版日期:
2021-12-25

文章信息/Info

Title:
Interventional treatment of biliary obstruction occurring after plastic stent implantation in patients with malignant biliary obstruction
作者:
唐 凡 任建庄 陈鹏飞 张文广 李方正 邝东林 万 里 王家兴 韩新巍
Author(s):
TANG Fan REN Jianzhuang CHEN Pengfei ZHANG Wenguang LI Fangzheng KUANG Donglin WAN Li WANG Jiaxing HAN Xinwei.
Department of Interventional Radiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province 450052, China
关键词:
【关键词】 胆道塑料支架 胆道金属支架 经皮肝穿胆道引流术 恶性胆道梗阻
文献标志码:
A
摘要:
【摘要】 目的 探讨DSA下恶性胆道梗阻塑料支架植入后阻塞取出、联合经皮经肝途径胆道金属支架植入的安全性、可行性及临床疗效。方法 回顾性分析2016年11月至2020年3月收治的经消化内镜置入胆道塑料支架治疗恶性胆道梗阻后支架阻塞的13例患者的临床资料,包括DSA下取出阻塞胆道塑料支架技术成功率、胆道金属支架植入技术成功率、临床治疗成功率(对比分析术前术后白细胞计数、肝功能指标及术后临床症状改善情况)、术后并发症及胆道金属支架通畅率。结果 所有患者DSA下取出阻塞的胆道塑料支架与经皮肝穿途径胆道金属裸支架植入手术顺利,技术成功率及临床治疗均获成功。术后所有患者的梗阻性黄疸临床症状明显改善,合并严重感染的患者白细胞计数逐渐恢复正常范围,未发生严重并发症。术后所有患者的转氨酶、胆红素等肝功能指标较术前下降,差异有统计学意义(均P<0.05)。整个随访期间,术后1、3、6、12个月时患者胆道裸金属支架通畅分别有13例、12例、11例和9例,胆道金属支架保持通畅的中位时间为(8.4±3.2)个月。结论 对于内镜下置入胆道塑料支架治疗恶性胆道梗阻后发生支架阻塞,DSA下取出阻塞的胆道塑料支架联合经皮经肝穿刺植入胆道金属支架的介入治疗是一种可行、安全、有效的微创手术,值得临床探讨和应用。

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相似文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2020- 07- 22)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2021-12-21