内镜下胆道支架置入治疗恶性胆道梗阻32例临床分析

目的探讨通过纤维十二指肠镜逆行胆胰管造影（ERCP）放置胆道内支架治疗晚期恶性胆道梗阻的临床疗效。方法32例恶性梗阻性黄疸的患者，均行ERCP（经内镜逆行胰胆管造影）术，根据情况置入不同支架，观察其疗效和3个月、6个月生存率。结果30例患者插管成功，插管成功率93．8％。其中18例置入金属支架，12例置八塑料支架。发生并发症2例（3．33％），其中急性胰腺炎1例，胆管炎1例。以上2例均经治疗后痊愈出院，术后黄疸逐渐消退，皮肤瘙痒等症状消失或减轻。插管成功的30例患者血清总胆红素从（170．84±101．72）μmol／L下降到术后1周（105．42±82．44）μmoL／L（P〈0．01），支架组随访21例中总体3个月、6个月存活分别达到93％及79％。结论30例患者插管成功，插管成功率93．8％。其中18例置入金属支架，12例置入塑料支架。发生并发症2例（3．33％），其中急性胰腺炎1例，胆管炎1例。以上2例均经治疗后痊愈出院，术后黄疸逐渐消退，皮肤瘙痒等症状消失或减轻。插管成功的30例患者血清总胆红素从（170．84±101．72）±mol／L下降到术后1周（105．42±82．44）μmol／L（P〈0．01）。支架组随访21例中总体3个月、6个月存活分别达到93％及79％。

Retrospetive Review of 32 Patients with Malignant Biliary Obstruction Treated by Endoscopic Retrograde Biliary Drainage

Objective To explore the clinical effects of biliary tract endoprosthesis through endoscopic retrograde cholangiopan creatography(ERCP) on unresectable malignant biliary obstruction(MBO).Methods A retrospective review of 32 patients with malignant obstructive jaundice receiving ERCP was taken.Different biliary stents were placed according to the patient's conditions.Outcomes were followed at three and six months.Results ERCP were successful in 30 cases of all the 32 cases,the successful rate was 93.8%(30/32...