实用放射学杂志
實用放射學雜誌
실용방사학잡지
JOURNAL OF PRACTICAL RADIOLOGY
2001年
3期
192-193
,共2页
恶性胆道梗阻%介入治疗%内支架%化疗栓塞
噁性膽道梗阻%介入治療%內支架%化療栓塞
악성담도경조%개입치료%내지가%화료전새
目的：探讨经皮肝穿刺胆道内支架置入术结合动脉化疗栓塞治疗恶性胆道梗阻的临床疗效。方法：12例恶性胆道梗阻病人采用经皮肝穿刺胆道内支架置入术，2周后行供血动脉灌注化疗和/或化疗栓塞，每月一次。结果：12例病人共放置国产网状支架14枚。11例病人血清胆红素水平由术前534±120μmol/L降至术后的45±23μmol/L。半年以上生存率83.3%，一年以上生存率50%，2例病人4个月后因胆管再次梗阻第二次置放支架。12例病人共行动脉化疗栓塞35次，显示了明确疗效。结论：经皮肝穿刺胆道内支架置入术结合动脉化疗栓塞是治疗恶性胆道梗阻安全、有效的方法。
目的：探討經皮肝穿刺膽道內支架置入術結閤動脈化療栓塞治療噁性膽道梗阻的臨床療效。方法：12例噁性膽道梗阻病人採用經皮肝穿刺膽道內支架置入術，2週後行供血動脈灌註化療和/或化療栓塞，每月一次。結果：12例病人共放置國產網狀支架14枚。11例病人血清膽紅素水平由術前534±120μmol/L降至術後的45±23μmol/L。半年以上生存率83.3%，一年以上生存率50%，2例病人4箇月後因膽管再次梗阻第二次置放支架。12例病人共行動脈化療栓塞35次，顯示瞭明確療效。結論：經皮肝穿刺膽道內支架置入術結閤動脈化療栓塞是治療噁性膽道梗阻安全、有效的方法。
목적：탐토경피간천자담도내지가치입술결합동맥화료전새치료악성담도경조적림상료효。방법：12례악성담도경조병인채용경피간천자담도내지가치입술，2주후행공혈동맥관주화료화/혹화료전새，매월일차。결과：12례병인공방치국산망상지가14매。11례병인혈청담홍소수평유술전534±120μmol/L강지술후적45±23μmol/L。반년이상생존솔83.3%，일년이상생존솔50%，2례병인4개월후인담관재차경조제이차치방지가。12례병인공행동맥화료전새35차，현시료명학료효。결론：경피간천자담도내지가치입술결합동맥화료전새시치료악성담도경조안전、유효적방법。
Objective:To vealuate the effect of percutaneous transhepaticinsertion of biliary setents(PTIBS) and arterial chemoenbolization for treatment of malignent biliary obstruction(MBO).Methods:Twelve patients with MBO were treated with PTIBS,following by arterial chemoenbolization in two weeks,one time each months.Results:Fourteen stents were placed in 12 cases.The total serum bilirubin level declined from 534±120 umol/L to 45±23 umol/L in 11 patients.The survival rate of 6 and 12 monthes were 83.3% and 50% respectively.Two cases were reobsturcted after 5 months of first stent implacemnt and were retreated by insertion of second stents.The total thirty-five times arterial chemoembolization was performed in 12 cases with remarkable effect.Conclusion:PTIBS combined arterial chemoembolization was an safe ;effective interventional treatment for MBO.
