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恶性梗阻性黄疸的介入治疗
引用本文:李江涛,王朝华,谢晓东,王丽琴,范玉军.恶性梗阻性黄疸的介入治疗[J].四川解剖学杂志,2011,19(1):11-12.
作者姓名:李江涛  王朝华  谢晓东  王丽琴  范玉军
作者单位:1. 广元第一人民医院放射科,广元,628017
2. 四川大学华西医院神外科,成都,610041
摘    要:目的探讨恶性梗阻性黄疸的介入治疗方法及其疗效。方法对256例恶性梗阻性黄疸患者,施用经皮经肝穿刺胆道引流术(PTCD)加金属内支架置入术或结合局部动脉化疗术,共使用256条外引流管和256枚金属内支架。结果 256例患者采用经皮经肝穿刺置入外引流管及支架置入术,均一次置入成功。术后总胆红素、直接胆红素、碱性磷酸酶均明显下降。术后256例患者黄疸消退满意;112例黄疸消退,并于术后4周行局部灌注化疗术。结论经皮经肝穿刺胆道外引流加内支架置入术是姑息性治疗恶性梗阻性黄疸的安全、有效方法,结合局部动脉灌注化疗,能提高患者的生命质量及延长生存期。

关 键 词:梗阻性黄疸  胆管梗阻  介入治疗

Interventional Therapy for Malignant Obstructive Jaundice
Li Jiangtao,Wang Chaohua,Xie Xiaodong,Wang Liqing,Fan Yujun.Interventional Therapy for Malignant Obstructive Jaundice[J].Sichuan Journal of Anatomy,2011,19(1):11-12.
Authors:Li Jiangtao  Wang Chaohua  Xie Xiaodong  Wang Liqing  Fan Yujun
Institution:Li Jiangtao1 Wang Chaohua2 Xie Xiaodong2 Wang Liqing1 Fan Yujun11(Department of Radiology,Guangyuan First People's Hospital,Guangyuan 628017,China)2(Department of Neurosurgery,West China Hospital,Sichuan University,Chengdu 610041,China)
Abstract:Objective To explore malignant obstructive jaundice interventional therapy method and its curative effect.Methods The 256 cases of malignant obstructive jaundice patients were selected,undergoing with percutaneous transhepatic cholangial drainage(PTCD) plus stent placement or in combination with regional arterial chemotherapy technique,and the total 256 external drainage pipe and 256 stent were used.Result The 256 cases were successfully in one-off treated by percutaneous transhepatic placement of external ...
Keywords:Obstructive jaundice  Bile duct obstruction  Interventional therapy  
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