| 胆管恶性梗阻内镜引流术的疗效观察 |
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| 引用本文： | 徐爱民 程红岩. 胆管恶性梗阻内镜引流术的疗效观察[J]. 肝胆外科杂志, 1999, 7(1): 8-10 |
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| 作者姓名： | 徐爱民 程红岩 |
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| 作者单位： | 第二军医大学附属长海医院放射科!上海，200433，第二军医大学附属长海医院放射科!上海，200433，第二军医大学附属长海医院放射科!上海，200433，第二军医大学附属长海医院放射科!上海，200433 |
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| 摘 要： | 目的 比较塑料内置管及金属内支架在胆管恶性梗阻引流中的疗铲。方法 全组患者１０５例，行鼻胆管或塑料内置管引流８７例次，放置金属内置管３１例次。结果 鼻胆管或塑料内置管引流组，引流有效率８２．８％，３０天死亡率１０．３％，平均通畅时间２．４月，平均生存期２．５月；金属内支架组，引流有效率９０．３％，３０天死亡率６．５％，平均通畅时间６．８月，平均生存期７．２月。结论对于胆管恶性梗阻，内镜引流术是一种
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| 关 键 词： | 内镜 引流 胆管梗阻 肿瘤 置管 金属内支架 疗效 |
THE CLINICAL EFFICIENCY OF THE ENDOSCOPIC BILIARY DRAINAGE IN THE TREATMENT OF MALIGNANT BILIARY OBSTRUCTION |
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| Xu Aimin, Cheng Hongyan, Chen Dong,et al.. THE CLINICAL EFFICIENCY OF THE ENDOSCOPIC BILIARY DRAINAGE IN THE TREATMENT OF MALIGNANT BILIARY OBSTRUCTION[J]. Journal of Hepatobiliary Surgery, 1999, 7(1): 8-10 |
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| Authors: | Xu Aimin Cheng Hongyan Chen Dong et al. |
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| Abstract: | Objective To compare the safety and the clinical efficiency of plastic versus metal stent in the treatment of malignant binary obstruction. Methods This study included 105 patients. There were 87 endoscopic nasobiliary drainage or plastic binarystems and 31 expandable metal stems. Results The total effective rate of the plastic group was 82. 8%,lower than that of themetal (90. 3% ). The 30-day mortality rate was higher for plastics (10. 3% ) than metal stems (6. 5% ). The median patency forplastics (2. 4months) was shorter than that of the metal stems (6. smonths),and the median survival was 2. 5 monthgt.versus 7. 2months. Conclusion Use of endoscopic binary drainage appears to show a safe and useful management for malignare biliary obstruction,and the metal stent is much better. |
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| Keywords: | Endoscopy Binary duct Drainage Malignant obstruction |
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