| PTCD并胆道支架治疗恶性梗阻性黄疸临床观察 |
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| 引用本文： | 郝玉芝,邢冬娟,龚少娟,宋卫华,徐爱民.PTCD并胆道支架治疗恶性梗阻性黄疸临床观察[J].肝胆外科杂志,2013(6):447-450. |
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| 作者姓名： | 郝玉芝 邢冬娟 龚少娟 宋卫华 徐爱民 |
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| 作者单位： | [1]河北秦皇岛北京军区北戴河疗养院普外科,秦皇岛066000 [2]第二军医大学东方肝胆外科医院肝胆内科,秦皇岛066000 |
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| 摘 要： | 目的 研究PTCD（经皮经肝胆管引流术）并胆道支架置入术对恶性梗阻性黄疸的治疗效果.方法 对19例行PTCD并胆道支架置入术的恶性梗阻性黄疸患者行回顾性分析.结果 技术成功率100％,术前血清总胆红素（228.9±30.2）μmol/L,术后2周时,血清总胆红素分别下降到（167.4 ±42.1）μmol/L （P＜0.05）.8例出现并发症,其中胆道出血2例,胆管炎4例,支架阻塞1例,胆汁漏1例,经治疗好均好转.结论 PTCD并胆道支架置入术是一种安全、有效的姑息治疗梗阻性黄疸的方法.
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| 关 键 词： | PTCD 胆道支架 恶性梗阻性黄疸 |
PTCD with metallic stent for malignent obstructive jaundice |
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| Institution: | HAO Yu-zhi,XING Dong-juan,GONG Shao-juan,et al. (1. Gener- al surgery department of Beidaihe sanatorium of Beijing military region, Hebei 066000, China ;2. Department of Liver Medicine, East- ern Hepatobiliary Surgery Hospital, Second Military Medical University) |
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| Abstract: | Objective To investigate the effect of percutaneous transhepatic cholangial drainage（PTCD） for treatment of malignant obstructive jaundice with metallic stent.Methods 19 patients with malignant t biliary obstruction were treated by the were treated by PTCD with metallic stent.Result The technical successful rate was 100%,Before surgery,total serum bilirubin level was at （228.9 ± 30.2）μmol/L.2 weeks after surgery,total serum bilirubin level was down to （167.4 ± 42.1）μmoL/L（P 〈 0.05）.There were 8 patients with complication after surgery.There were 2 cases with biliary tract bleeding,5 cases with biliary tract infection,1ease with stent blocking and 1 case with bile leaking.All the cases were controled by effective clinical treatment.Conclusions Treating obstructive jaundice with PTCD and metallic stent is safety and effective and it is a palliative therapy for treating malignant obstructive jaundice. |
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| Keywords: | PTCD metallic stent malignant obstructive jaundice |
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