| 经皮经肝胆管引流术与ERCP对接术治疗恶性梗阻性黄疸 |
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| 引用本文： | 刘迎娣,王志强,王向东,杨云生,令狐恩强,孟江云. 经皮经肝胆管引流术与ERCP对接术治疗恶性梗阻性黄疸[J]. 现代肿瘤医学, 2007, 15(2): 215-216 |
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| 作者姓名： | 刘迎娣 王志强 王向东 杨云生 令狐恩强 孟江云 |
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| 作者单位： | 解放军总医院消化科,北京,100853 |
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| 摘 要： | 目的探讨经皮经肝胆管引流术(PTBD)与ERCP对接术治疗恶性肿瘤导致的梗阻性黄疸的技术特点和临床效果。方法总结因恶性肿瘤导致的梗阻性黄疸患者ERCP失败后,实施PTBD与ERCP对接胆道支架植入术的治疗方法与临床效果。结果17例PTBD与ERCP对接治疗恶性梗阻性黄疸均获得成功。其中采取右侧肝管穿刺8例,左侧肝管9例;一次性对接成功14例,分次进行3例;术后4天血清总胆红素水平下降46.89%;血清直接胆红素水平下降43.05%。主要并发症为围手术期的胆道感染。结论PTBD与ERCP对接术是治疗ERCP失败的恶性梗阻性黄疸的另一新方法,具有良好的临床应用价值。
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| 关 键 词： | 经皮经肝胆管引流术(PTBD) 对接术 恶性梗阻性黄疸 |
| 文章编号： | 1672-4992-（2007）02-0215-02 |
| 修稿时间： | 2006-10-23 |
Buff joint of PTBD and ERCP -the treatment of malignant obstructive jandice |
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| LIU Ying-di,WANG Zhi-qiang,WANG Xiang-dong,YANG Yun-sheng,LING HU En-qiang,MENG Jiang-yun. Buff joint of PTBD and ERCP -the treatment of malignant obstructive jandice[J]. Journal of Modern Oncology, 2007, 15(2): 215-216 |
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| Authors: | LIU Ying-di WANG Zhi-qiang WANG Xiang-dong YANG Yun-sheng LING HU En-qiang MENG Jiang-yun |
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| Affiliation: | Department of Digestion of the Military General Hospital, Beijing 100853, China |
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| Abstract: | Objective: To study the technical method and clinical value of butt joint of PTBD and ERCP to the treatment of malignant obstructive jaundice. Methods: Seventeen patients with malignant obstructive jaundice were treated by butt joint of PTBD and ERCP after the ERCP failure. Results: All 17 cases were succeed. According to the PTBD drainage approach, 8 cases were from right side, and 9 from left side; 14 cases procedure of PTBD and ERCP butt joint were in one time, and 3 cases in another time; the serum total bilirubin decreased 46.89% in 4 days; direct bilirubin decreased 43.05%. The maincomplication was bile duct infection. Conclusion: Butt joint of PTBD and ERCP to the treatment of obstructive jaundice is a new method while ERCP failed , this method has good clinical value. |
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| Keywords: | EBCP |
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