[1]胡章明,李坤峰,姚宜斌,等.胆道支架联合125I粒子条对恶性梗阻性黄疸的治疗效果[J].介入放射学杂志,2020,29(01):59-62.
 HU Zhangming,LI Kunfeng,YAO Yibin,et al.Biliary stenting combined with 125I seed strip implantation for the treatment of malignant obstructive jaundice: analysis of curative effect[J].journal interventional radiology,2020,29(01):59-62.
点击复制

胆道支架联合125I粒子条对恶性梗阻性黄疸的治疗效果()

PDF下载中关闭

分享到:

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

卷:
29
期数:
2020年01
页码:
59-62
栏目:
病例报告
出版日期:
2020-02-10

文章信息/Info

Title:
Biliary stenting combined with 125I seed strip implantation for the treatment of malignant obstructive jaundice: analysis of curative effect
作者:
胡章明李坤峰姚宜斌郑睿朱峰程晓剑
Author(s):
HU Zhangming LI Kunfeng YAO Yibin ZHENG Rui ZHU Feng CHENG Xiaojian.
Department of Interventional Radiology, Tongling Municipal People’s Hospital, Tongling, Anhui Province 244000, China
关键词:
【关键词】 恶性肿瘤梗阻性黄疸经皮肝穿胆道引流125I粒子道道支架
文献标志码:
A
摘要:
【摘要】 目的?观察胆道支架联合125I粒子条植入治疗恶性梗阻性黄疸(MOJ)的临床疗效。
方法?回顾性分析2016—2018年确诊为MOJ的27例患者。所有患者均经DSA下行经皮肝穿胆道引流(PTCD)术,并植入自膨式胆道裸支架及125I粒子条。评价治疗效果、支架通畅时间、生存情况。
结果?27例患者手术均成功。疗效评价中显效18例,有效9例;14例胆管细胞癌患者术前、术后CA199变化无统计学差异;截止随访日期,17例患者死亡;支架通畅时间为(10.1±3.2)个月;高位和低位梗阻患者中位生存期分别为11和10个月。结论?经PTCD行支架及125I植入术是治疗恶性梗阻性黄疸一种安全、有效,能迅速解除黄疸的治疗方法。

参考文献/References:

1 Duan F, Cui L, Bai Y, et al. Comparison of efficacy and complications of endoscopic and percutaneous biliary drainage in malignant obstructive jaundice: a systematic review and meta-analysisJ. Cancer Imaging, 2017, 17: 27.
2 Matsumoto K, Takeda Y, Onoyama T, et al. Endoscopic treatment for distal malignant biliary obstructionJ. Ann Transl Med, 2017, 5: 190.
3 朱晓丹,陈卫刚,韩岩智,等.恶性梗阻性黄疸不同姑息治疗方法疗效观察J. 中国内镜杂志, 2015, 21:371-374.
4 姚红响,陈根生,叶冠雄,等.胆道支架联合125I粒子条治疗恶性梗阻性黄疸J. 介入放射学杂志, 2014, 23:893-896.
5 伍靖武,谢岳云,鲍忠平,等.胆道支架联合经皮穿刺125I粒子植入治疗胆管恶性梗阻性黄疸26例临床观察J. 实用医院临床杂志,2010, 7:52-55.
6 刘?帅,武文奇,李子祥.支架植入联合125I粒子近距离放疗对恶性梗阻性黄疸的疗效J.齐鲁医学杂志, 2016, 31:174-180.
7 Peng S, Yang QX, Zhang T, et al. Lobaplatin-TACE combined with radioactive 125I seed implantation for treatment of primary hepatocellular carcinomaJ. Asian Pac J Cancer Prev, 2014, 15: 5155-5160.
8 唐富龙,任菊娜,吴?娟,等.125I 放射性粒子单平面布源剂量学研究J.介入放射学杂志, 2014, 23:619-622.
9 谢宗贵,刘?涛,郭绍举,等.经皮胆道扩张外引流并125I粒子链植入治疗恶性胆道梗阻四例J.介入放射学杂志, 2012, 21:679-682.
10 戴真煜,姚立正,李文会,等.经皮胆道支架联合支架旁125I粒子条植入治疗恶性胆道梗阻J.介入放射学杂志, 2011, 20:706-708.
11 陈保银,庞林元.两种不同途径胆道金属支架植入治疗恶性阻塞性黄疸的对比研究J.介入放射学杂志, 2016, 25:880-884.
12 薛?鸿,岳?鹏,刘晶晶,等.经ERCP途径与PTCD途径治疗恶性梗阻性黄疸疗效比较的系统评价J. 中国内镜杂志, 2019, 25:17-26.
13 李?斌,姜小清,易?滨,等. 计划性肝切除体系的肝门部胆管癌Bismuth-Corlette改进分型J. 中国实用外科杂志, 2018, 38:679-683.


相似文献/References:

[1]翟仁友,黄强.恶性梗阻性黄疸介入治疗常见问题的处理[J].介入放射学杂志,2007,(10):649.
 ZHAI Ren-you,HUANG Qiang.Interventional radiology of malignant biliary obstruction complication and treatment[J].journal interventional radiology,2007,(01):649.
[2]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,(01):930.
[3]方世明,李海利,林   青,等. X线引导下鼻肠梗阻导管插入引流治疗不能手术的恶性肠梗阻[J].介入放射学杂志,2011,(12):979.
 FANG Shi-ming,LI Hai-li,LIN Qing,et al.Fluoroscopically-guided transnasal insertion of ileus tube for intestinal decompression in patients with inoperable malignant bowel obstruction[J].journal interventional radiology,2011,(01):979.
[4]邓美香,金泳海,倪才方,等.植入支架治疗恶性肿瘤压迫致髂静脉狭窄14例[J].介入放射学杂志,2014,(02):118.
 DENG Mei? xiang,JIN Yong? hai,NI Cai? fang,et al. Stent implantation for iliac vein stenosis caused by malignant tumor compression: analysis of 14 cases [J].journal interventional radiology,2014,(01):118.
[5]中国抗癌协会肿瘤介入专家委员会.经导管动脉灌注化疗药物应用原则——中国肿瘤介入专家共识[J].介入放射学杂志,2017,(11):963.
 Tumor Intervention Expert Committee of Chinese Anti- Cancer Association.Chinese tumor intervention expert consensus on the application principles of transcatheter arterial infusion chemotherapy[J].journal interventional radiology,2017,(01):963.
[6]魏 宁,陈启鸿,徐 浩,等.通气导管辅助下125I支架置入术治疗恶性气道狭窄24例 [J].介入放射学杂志,2017,(12):1118.
 WEI Ning,CHEN Qihong,XU Hao,et al.Treatment of malignant airway stenosis with 125I seed stent implantation assisted by airway tube: preliminary results in 24 patients[J].journal interventional radiology,2017,(01):1118.
[7]解旭品,方 欣,黄昌拼,等.血管内支架治疗恶性肿瘤引起的上腔静脉综合征疗效分析 [J].介入放射学杂志,2019,28(05):436.
 XIE Xupin,FANG Xin,HUANG Changpin,et al.Endovascular stenting for the treatment of superior vena cava syndrome caused by malignant tumors: analysis of its curative effect[J].journal interventional radiology,2019,28(01):436.

备注/Memo

备注/Memo:
(收稿日期:2019-06-17)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2020-02-08