自膨胀式支架在梗阻性黄疸治疗中的应用

被引:12
作者
高健
杜湘珂
金龙
陈雷
机构
[1] 北京大学人民医院放射科
关键词
胆道; 梗阻; 介入治疗; 内支架;
D O I
10.13929/j.1003-3289.2002.05.014
中图分类号
R815 [放射疗法];
学科分类号
摘要
目的 评价自膨胀式支架在梗阻性黄疸姑息性治疗中的价值。方法 我们对 18例梗阻性黄疸患者 ,实施了经皮肝穿 ,胆道内自膨胀式支架植入术。对其中 17例患者进行了 2~ 44周随访。结果  18例内支架均成功植入 ,除 1例外 ,术后 2周内血清胆红素及碱性磷酸酶都显著降低 ,胆道梗阻引起的症状缓解。 3例 (17% )发生支架堵塞 ,平均支架通畅时间 18周。结论 自膨胀式内支架植入 ,是姑息性治疗梗阻性黄疸的安全有效手段。
引用
收藏
页码:419 / 421
页数:3
相关论文
共 10 条
[1]  
Nonsurgical palliative treatment of patients with malignant biliary obstruction: the place of endoscopic and percutaneous drainage. Lameris JS,Stoker J,Dees J,et al. Clinical Radiology . 1987
[2]  
Role of endoprostheses in the management of malignant biliary obstruction. Melean GK,Burke DR. Radiology . 1989
[3]  
Biliary stent endoprosthesis: analysis of complications in 113 patients. Mueller PR,Ferrucci JT,Teplick SK,et al. Radiology . 1985
[4]  
Biliary drainage endoprostheses: experience with 201 placement. Lammer J,Neumayer K. Radiology . 1986
[5]  
Biliary endoprostheses : plastic versus metal stents. Lammer J. Radiologic Clinics of North America . 1990
[6]  
A new endoprosthesis for nonoperative intubation of the biliary tract in malignant obstructive jaundice. Burcharth F. Surgery Gynecology and Obstetrics . 1978
[7]  
Metallic stents in malignant biliary obstruction: prospective long-term clinical results. Lee BH,Choe DH,Lee JH,et al. American Journal of Roentgenology . 1997
[8]  
Malignant obstruction of the common bile duct : long-term results of GianturcoR sch metal stents used as initial treatment. Mathieson JR,Mcloughlin RF,Cooperberg DL,et al. Radiology . 1994
[9]  
Percutaneous transhepatic placement of biliary endoprostheses: results in 100 consecutive patients. Dick BW,Gordon RL,et al. Journal of Vascular and Interventional Radiology . 1990
[10]  
Relief of malignant obstructive jaundice by percutaneous insertion of a permanent prosthesis in the biliary tree. Pereiras RV,Rheingold OJ,Huston D,et al. Annals of Internal Medicine . 1978