介入法支架植入术治疗恶性胆道梗阻

 目的探讨植入支架术治疗恶性胆道梗阻的疗效及其并发症。方法46例恶性胆道梗阻的患者在DSA的引导下接受经皮肝穿刺胆道支架植入术。结果46例放置了胆道支架，共用支架50只，其中13例为双支架，4例术后行经肝动脉化疗和（或）栓塞。减黄总有效率达85．4％。支架阻塞5例。主要并发症：败血症3例，肝功损害6例。结论支架植入术成功率高，减黄疗效好，是姑息性治疗恶性胆道梗阻安全简单的治疗方法。

The Interventional Treatment of Malignant Biliary Obstruction by Implantation Stend

Objective To investigate the effects and complications for treatment of malignant biliary obstruction by implantation stend. Methods 46 patients with malignant biliary obstruction were received implantation stand through the guidance of DSA. Results 46 patients were inserted biliary stand, and used the total 50 stents, including patients with biliary double sand.4 patients were performed with TAI or /and TAE after operation. The total efficacy of alleviation jaundice was 85.4%. 3 cases of stand were obstruction. Complications included septicemia (n=3), hepatic dysfunction (n=6). Conclusion The implantation stand has high successful rate, the better effects of alleviation jaundice. And it is a simple, safe of palliative treatment for malignant biliary obstruction.