| 经内镜胆管内支架置入术对恶性胆管梗阻的临床应用 |
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| 引用本文： | 胡元国,黄强,王成,邱陆军,查恕云.经内镜胆管内支架置入术对恶性胆管梗阻的临床应用[J].肝胆外科杂志,2009,17(6). |
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| 作者姓名： | 胡元国 黄强 王成 邱陆军 查恕云 |
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| 作者单位： | 安徽医科大学附属省立医院,合肥,230001 |
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| 摘 要： | 目的 探讨经内镜胆管内支架置入术对各种恶性胆管梗阻的治疗效果.方法 66例恶性胆管梗阻病人先行内镜逆行胰胆管造影(ERCP)检查,确定胆管梗阻病变部位和性质后,再决定使用内镜下塑料胆道支架引流(ERBD)和内镜下金属胆道支架引流(EMBE).结果 66例患者中64例插管成功,成功率96.97%(64/66).行ERBD 44例,行EMBE 20例,主要见于胰头癌、胆管癌、壶腹癌、原发性肝癌及肝门及肝内转移压迫胆管,所有病例均在引流后总胆红素及直接胆红素明显下降.结论 经内镜下胆管内支架引流术的应用愈来愈广泛,其操作安全而有效,特别是对各种恶性病变引起的胆管梗阻起了关键性的治疗作用.
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| 关 键 词： | 恶性胆管梗阻 内镜 引流 支架 |
ENDOSCOPIC RETROGRADE BILIARY DRAINAGE IN MANAGEMENT OF MALIGNANT BILE DUCT OBSTRUCT |
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| HU Yuan-guo,HUANG Qiang,WANG Cheng,et al..ENDOSCOPIC RETROGRADE BILIARY DRAINAGE IN MANAGEMENT OF MALIGNANT BILE DUCT OBSTRUCT[J].Journal of Hepatobiliary Surgery,2009,17(6). |
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| Authors: | HU Yuan-guo HUANG Qiang WANG Cheng |
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| Institution: | HU Yuan-guo,HUANG Qiang,WANG Cheng,et al.Department of General Surgery,The Affiliated Provincial Hospital of Anhui Medical University,Hefei 230001,China |
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| Abstract: | Objective To evaluate the effects of endoscopic retrograde biliary drainage(ERBD)in management of malignant bile duct obstruction.Methods 66 patients with malignant biliary obstruct were firstly examined with ERCP(Endoscopic Retrograde Cholangiopancreatography)to make a definite diagnosis of the location and character of the biliary obstruct,and then appropriate biliary drainage was chosen ERBD(endoscopic retrograde biliary drainage)or EMBE(endoscopic metal biliary endoprothesis).Results 64 cases of 66 were... |
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| Keywords: | malignant biliary obstruction endoscopy draining stent |
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