抗反流塑料支架治疗胆道恶性梗阻22例分析*

目的比较抗反流塑料支架与普通塑料支架在治疗胆道恶性梗阻中的疗效。方法选取2013年3月-2016年4月由该中心完成的22例抗反流胆道塑料支架置入术和30例胆道普通塑料支架置入术,比较操作时间、一次成功率,术后胆管炎、胰腺炎、支架通畅期和生存期等情况的差异。结果两组在操作时间、一次成功率、术后近期胆管炎和术后胰腺炎等方面无明显差异(P0.05),在远期胆管炎、支架通畅期和生存期3个方面差异有统计学意义(P0.05)。结论抗反流胆道塑料支架在治疗胆道恶性梗阻有较好的远期疗效,值得进一步探讨与研究。

Analysis of anti-reflux plastic stent for treating malignant biliary obstruction in 22 patients*

Objective?To compare the curative effect of anti-reflux plastic stent and common plastic stent in treatment of malignant biliary obstruction.?Method?22 cases of anti-reflux biliary plastic stent implantation and 30 cases of common bile duct stent implantation from March 2013 to April 2016 were selected as study subject, then compare the operation time, one-time success rate, postoperative pancreatitis, cholangitis, patency, differences in survival situation.?Result?There was no significant difference between the two groups in the aspects of the operation time, one-time success rate of recent cholangitis after surgery, postoperative pancreatitis (P > 0.05), but there was significant difference between the three aspects of long term patency, cholangitis, survival period (P < 0.05). ?Conclusion?The anti-reflux biliary stent has good long-term curative effect in treatment of malignant biliary obstruction, which worth of further exploration and research.