| 张伟星1 陈颖2 段晓燕3 李楠3 宛新建1.内镜下逆行胰胆管造影置放胆道支架治疗恶性梗阻性
黄疸98 例疗效分析[J].,2012,12(11):2080-2084 |
| 内镜下逆行胰胆管造影置放胆道支架治疗恶性梗阻性
黄疸98 例疗效分析 |
| Analysis of the Effect on Malignant Biliary Obstruction Treated byEndoscopic Biliary Stent Insertion in 98 cases |
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| DOI： |
| 中文关键词: 内镜下逆行胰胆管造影 恶性梗阻性黄疸 胆道支架 并发症的防治 |
| 英文关键词: Malignant obstructive jaundice Encoscopic retrograde cholangio pancreatoraphy Biliary stents Prevention of complications |
| 基金项目:教育部博士点基金（2-0902） |
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| 中文摘要: |
| 目的：探讨内镜下逆行胰胆管造影置放胆道支架对恶性胆道梗阻的疗效及并发症的防治。方法：选择2008 年2 月至2011
年9 月我院收治的无法手术切除或不愿手术的恶性胆道梗阻患者98 例，通过放置内置支架引流观察其操作成功率、支架通畅期
和退黄效果、并发症发生情况及其防治效果和患者生存期等。结果：98 例患者中有88 例成功通过置入胆道内置引流管，成功率为
89.8%，并发症发生率为11.22%，所有成功患者术后1 周黄疸明显减退，支架平均通畅期137 天，患者平均生存期为163 天。结论：
行胆道内置支架引流创伤小，并发症少，通畅性能好，可持久有效地控制黄疸，有效缓解病情，改善全身情况，明显延长恶性胆道
梗阻患者的生存期。 |
| 英文摘要: |
| Objective: To study the clinical value and therapeutic effect of encoscopic retrograde cholangio pancreatography(ERCP)
on malignant obstructive jaundice. Methods: By studying on the drainage by using biliary stent built in by ERCP in 98 cases of patients
with malignant biliary obstruction, which was impossible to cut off or the patients was not willing to take the operation from Feb.2008 to
Sept..2011,observe their success rate, the jaundice-reduce effect, the incurred complications, prevention effect of complications, stent patency
period and survival period. Results: 88 patients were successfully placed by ERCP biliary drainage tube, and the success rate was
89.8%; the jaundice of all the patients with the successful operation had decreased significantly(P<0.05) after a week; the average patency
period of stents was 137days, and the average survival period of patients was 163 days. Conclusion: Drainage with the biliary stents built
in by ERCP got less injure and complications, good unobstructed performances, and could effectively and lastingly alleviate the patients'
serious illness, control the Jaundice, improve their general conditions and extent their survival period. |
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