[1]王剑宇,徐 浩,许 伟,等.支架联合内或外125I粒子条治疗恶性梗阻性黄疸临床研究[J].介入放射学杂志,2019,28(09):874-877.
 WANG Jianyu,XU Hao,XU Wei,et al.The therapeutic effect of 125I seed- strand implanted inside or outside the biliary stent for malignant obstructive jaundice[J].journal interventional radiology,2019,28(09):874-877.
点击复制

支架联合内或外125I粒子条治疗恶性梗阻性黄疸临床研究()

PDF下载中关闭

分享到:

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

卷:
28
期数:
2019年09期
页码:
874-877
栏目:
临床研究
出版日期:
2019-09-25

文章信息/Info

Title:
The therapeutic effect of 125I seed- strand implanted inside or outside the biliary stent for malignant obstructive jaundice
作者:
王剑宇 徐 浩 许 伟 王 勇 柳 昂
Author(s):
WANG Jianyu XU Hao XU Wei WANG Yong LIU Ang.
Department of Interventional Radiology, Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu Province 221000, China
关键词:
【关键词】 恶性梗阻性黄疸 粒子条 支架 内照射
文献标志码:
A
摘要:
【摘要】 目的 评价和探讨胆道支架联合内、外125I粒子条治疗恶性梗阻性黄疸的可行性及疗效性。方法 回顾性分析2014年5月至2017年6月在徐州医科大学附属医院治疗的90例恶性梗阻性黄疸患者临床资料,其中行胆道支架外125I粒子条治疗为A组(30例),行胆道支架内125I粒子条治疗为B组(30例),行单纯胆道支架治疗为C组(30例)。统计术中、术后并发症发生率,比较内、外置入粒子条区别。依据胆红素、转氨酶指标评价患者近期疗效;依据支架通畅时间、支架通畅率和生存时间评价患者远期疗效。结果 A组术中出现5例粒子条移位(均<1 cm);B组随访期间3例出现粒子条无法取出,2例出现胆汁瘤,8例出现胆汁外溢。在疗效上,A、B两组明显优于C组(P<0.05),A、B间差异无统计学意义(P>0.05)。 结论 胆道支架联合125I粒子条治疗恶性梗阻性黄疸安全、有效,粒子条置放于支架内或外对疗效无明显影响,支架内置入粒子条较支架外置入粒子条并发症多。

参考文献/References:

[1] Xu X, Li J, Wu J, et al. A systematic review and meta- analysis of intraluminal brachytherapy versus stent alone in the treatment of malignant obstructive jaundice[J]. Cardiovasc Intervent Radiol, 2018, 41: 206- 217.
[2] 李文会, 罗剑钧, 戴真煜, 等. 腔内近距离放疗联合及支架植入治疗恶性胆道梗阻[J].介入放射学杂志, 2015, 24: 215- 218.
[3] Gerges C, Schumacher B, Terheggen G, et al. Expandable metal stents for malignant hilar biliary obstruction[J]. Gastrointest Endosc Clin N Am, 2011, 21: 481- 497.
[4] 范恒伟, 刘会春, 李宗狂, 等. 经PTCD途径胆道金属支架置入术治疗恶性梗阻性黄疸137例临床疗效分析[J]. 肝胆外科杂志, 2013, 21: 94- 97.
[5] 姚红响, 陈根生, 叶 冠, 等. 单纯胆道支架与125I粒子支架腔治疗恶性梗阻性黄疸[J].中华肝胆外科杂志, 2014, 20:869- 872.
[6] 韩成龙, 马亦龙, 欧盛秋, 等. 125I粒子条联合胆道支架植人治疗恶性梗阻性黄疸22例疗效分析[J]. 介入放射学杂志,2015, 24: 141- 145.
[7] 王 涛, 刘 胜, 郑延波, 等. 125I粒子条联合胆道内支架治疗恶性梗阻性黄疸的临床疗效[J]. 中华肿瘤杂志, 2016, 38: 228- 231.
[8] 常海洋, 王永正, 王武杰, 等. 胆道支架置入术联合125I支架内照射治疗恶性梗阻性黄疸效果观察[J]. 山东医药, 2015, 55: 46- 47.
[9] 潘洪涛, 刘会春, 费圣贤, 等. 胆道支架联合125I粒子腔内照射治疗肝门胆管癌的临床疗效[J]. 中华放射学杂志, 2016, 50:393- 396.
[10] 周 广, 肖恩华, 尚全良, 等. 胆道金属裸支架与125I粒子支架治疗恶性胆道梗阻的疗效对比:一项单中心前瞻性研究[J].介入放射学杂志, 2018, 27: 467- 472.

相似文献/References:

[1]韩成龙,马亦龙,欧盛秋,等.125I粒子条联合胆道支架植入治疗恶性梗阻性黄疸22例疗效分析[J].介入放射学杂志,2015,(02):141.
 HAN Cheng long,MA Yi long,OU Sheng qiu,et al.125I seed strip combined with biliary stent implantation for malignant obstructive jaundice: clinical analysis of 22 cases[J].journal interventional radiology,2015,(09):141.
[2]陈 斌,谢宗贵,毛延发,等.可携带125I粒子的胆道引流导管的研制报告[J].介入放射学杂志,2015,(02):154.
 CHEN Bin,XIE Zong gui,MAO Yan fa,et al.The preparation of self designed biliary drainage catheter carrying 125I seeds: preliminary study[J].journal interventional radiology,2015,(09):154.
[3]阳秀春,秦月兰,胡进晖,等.延续性护理模式在经皮肝穿刺胆道引流患者的应用[J].介入放射学杂志,2017,(02):180.
 YANG Xiuchun,QIN Yuelan,HU Jinhui,et al.Application of continuity nursing model in caring patients receiving percutaneous transhepatic biliary drainage[J].journal interventional radiology,2017,(09):180.
[4]徐红豆,周卫忠,刘圣,等.经皮胆道支架联合125I粒子条腔内植入治疗恶性梗阻性黄疸的疗效分析[J].介入放射学杂志,2020,29(01):83.
 XU Hongdou,ZHOU Weizhong,LIU Sheng,et al.Percutaneous biliary stenting combined with intraluminal implantation of 125I seed strand for malignant obstructive jaundice: analysis of curative effect[J].journal interventional radiology,2020,29(09):83.
[5]彭赵宏,施万印,赵本胜,等.比较两种不同粒子条制作及植入方法联合胆道支架治疗恶性梗阻性黄疸 [J].介入放射学杂志,2021,30(09):899.
 PENG Zhaohong,SHI Wanyin,ZHAO Bensheng,et al.Comparison of the preparation of two different 125I seed-strips and 125I seed-strip implantation combined with biliary stent for malignant obstructive jaundice[J].journal interventional radiology,2021,30(09):899.
[6]徐红豆,吴军政,周卫忠,等.经皮胆道支架和125I粒子条腔内植入联合动脉灌注化疗治疗恶性梗阻性黄疸的疗效分析[J].介入放射学杂志,2021,30(09):905.
  [J].journal interventional radiology,2021,30(09):905.
[7]贾鹏飞,赵 辉.真实胆管弧度下胆道支架联合125I粒子条治疗恶性梗阻性黄疸的剂量学研究[J].介入放射学杂志,2022,31(08):775.
 JIA Pengfei,ZHAO Hui..Biliary stent combined with 125I seed strand implantation under real biliary radian guidance in the treatment of malignant obstructive jaundice: a dosimetric study[J].journal interventional radiology,2022,31(09):775.
[8]戚 倩,费晓燕,许 懿,等.恶性梗阻性黄疸患者行经皮肝穿刺胆道引流术后出院准备度现状及其影响因素[J].介入放射学杂志,2022,31(11):1097.
 QI Qian,FEI Xiaoyan,XU Yi,et al.The discharge readiness degree in patients with malignant obstructive jaundice after receiving percutaneous transhepatic cholangial drainage: its current situation and influencing factors[J].journal interventional radiology,2022,31(09):1097.

备注/Memo

备注/Memo:
(收稿日期:2018- 10- 24)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2019-09-24