| 胆囊切除术后胆管阻塞的介入治疗 |
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| 引用本文： | 侯国欣,李天晓,张慧君,王以发. 胆囊切除术后胆管阻塞的介入治疗[J]. 中国介入影像与治疗学, 2006, 3(5): 344-346 |
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| 作者姓名： | 侯国欣 李天晓 张慧君 王以发 |
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| 作者单位： | 1. 郑州市第五人民医院放射科,河南,郑州,450003
2. 河南省人民医院介入科,河南,郑州,450000 |
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| 摘 要： | 目的探讨胆囊切除术后胆管阻塞的介入治疗方法。方法10例胆囊切除术后胆管阻塞患者,3例采用经皮肝穿刺胆管引流术(PTCD)加金属内支架植入术,2例植入内涵管,5例植入14F内外引流管,并比较介入手术前后总胆红素、谷丙转氨酶、谷酰转肽酶、碱性磷酸酶的变化。结果10例采用经皮肝穿刺胆管引流术(PTCD)加金属内支架植入术或植入内涵管或植入14F内外引流管,均获得成功。术后黄疸消退满意,3~6个月拔除内涵管或14F内外引流管后,胆道通畅。结论PTCD加金属内支架植入术或植入内涵管或植入14F内外引流管治疗胆囊切除术后胆管阻塞,疗效满意,操作简单,并发症少。
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| 关 键 词： | 放射学,介入性 胆管阻塞 胆囊切除术 支架 |
| 文章编号： | 1672-8475（2006）05-0344-03 |
| 收稿时间： | 2006-02-20 |
| 修稿时间： | 2006-05-30 |
Interventional treatment for biliary obstruction after cholecystectomy |
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| HOU Guo-xin,LI Tian-xiao,ZHANG Hui-jun and WANG Yi-fa. Interventional treatment for biliary obstruction after cholecystectomy[J]. Chinese Journal of Interventional Imaging and Therapy, 2006, 3(5): 344-346 |
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| Authors: | HOU Guo-xin LI Tian-xiao ZHANG Hui-jun WANG Yi-fa |
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| Affiliation: | Department of Radiology, the Fifth People's Hospital of Zhengzhou, Zhengzhou 450003, China;Depertment of Interventional Radiology, Henan Provincial People's Hospital, Zhengzhou 450000, China;Department of Radiology, the Fifth People's Hospital of Zhengzhou, Zhengzhou 450003, China;Department of Radiology, the Fifth People's Hospital of Zhengzhou, Zhengzhou 450003, China |
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| Abstract: | Objective To explore the interventional treatment for biliary obstruction after cholecystectomy.Methods All 10 patients including 3 cases underwent percutaneous transhepatic cholangio-drainage(PTCD) with metallic stent placement,2 cases underwent endoprosthesis,5 cases underwent 14F inner-outer draining catheter procedure,were evaluated with comparison in regard to preoperative conditions,TBIL,ALT,GTP and AKP values.Results Stent placement was once successful in all 10 cases with success rate of 100% after the treatment.Conclusion PTCD with metallic stent placement or endoprosthesis or 14F inner-outer draining catheter procedure is a safety,simple,low complication method for managing biliary obstruction after cholecystectomy. |
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| Keywords: | Radiology interventional Biliary obstruction Cholecystography Stents |
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