经皮肝穿刺胆道引流及支架植入治疗恶性阻塞性黄疸.pdfVIP

aAcademiae Medicinae Jiangxi 2007,Vol 47,No6 · 59 · 江西医学院学报2007年第47卷第6期 Act — — 经皮肝穿刺胆道引流 及支架植入治疗恶性阻塞性黄疸 郭武华，冯 龙，徐 华，李彩花，李 凌 (南昌大学第二附属医院肿瘤科，南昌330006) 摘要：目的 探讨经皮肝穿刺胆道引流及支架植入治疗恶性阻塞性黄疸的疗效。方法 28例恶性阻塞性黄疽患 者采用经皮肝穿刺胆道引流及支架植入治疗。结果 28例患者中，27例一次行支架植入成功，1例因导丝不能通 过狭窄先行外引流1周后再行支架植入成功；共植入金属支架31枚。1例发生少量胸腔积液，2例因外引流量大 未能拔除外引流管。结论 经皮肝穿刺胆道引流及支架植入治疗恶性阻塞性黄疸创伤小，患者耐受性较好，并发 症少，并能提高患者的生活质量。 关键词：阻塞性黄疸，恶性；金属支架；治疗 中图分类号：R73 文献标识码：A 文章编号：1000--2294(2007)06--0059--02 Percutaneous Drainage and Stenting for Treatment of Malignant Obstruction of Bile Duct GUO Wu-hua，FENG Long，XU Hua，LI Cai-hua,LI Ling (Department of Oncology，the Second Affiliated Hospital of Nanchang University，Nanchang 330006，China) ABSTRACT：Objective To evaluate the efficiency of percutaneous drainage and stenting for treatment of malignant obstructive jaundice．Methods Twenty-eight patients with malignant ob— structive j aundice were treated with drainage and stenting by the way of percutaneous transhepat— ic insertion．Results Twenty-seven of the 28 patients were performed successfully．Only one pa— tient，due to the guide wire couldn’t go straight through the obstructive position’was treated by external drainage for a week before inserting a metal stent．Thirty—one stents were inserted into the 28 Datients．One patient suffered little pleural effusion after operation．Two cases had to maintain their drainage catheter because of much bile extra—drainage．There was not any other complications occured．Conclusion Percutaneous drainage and stenting is micro—invasive and ef— fective in the treatment of malignant