CAJ | 학술논문

目的：探讨经皮肝穿胆道内外引流及支架植入治疗恶性梗阻性黄疸的临床疗效。方法：在C型臂下，16例恶性梗阻性黄疸患者采用经皮肝穿胆道内外引流及支架植入治疗。结果：16例患者中，14例1次行支架植入成功，2例因导丝不能通过狭窄先行外引流1周后再行支架植入成功。术后患者黄疸均得到不同程度改善，1例发生少量的胸腔积液。结论：经皮肝穿胆道引流及支架植入治疗恶性梗阻性黄疸疗效可靠，创伤小，缓解症状快，并发症少，可明显提高患者生活质量，延长生存时间。
목적：탐토경피간천담도내외인류급지가식입치료악성경조성황달적림상료효。방법：재C형비하，16례악성경조성황달환자채용경피간천담도내외인류급지가식입치료。결과：16례환자중，14례1차행지가식입성공，2례인도사불능통과협착선행외인류1주후재행지가식입성공。술후환자황달균득도불동정도개선，1례발생소량적흉강적액。결론：경피간천담도인류급지가식입치료악성경조성황달료효가고，창상소，완해증상쾌，병발증소，가명현제고환자생활질량，연장생존시간。
Objective:To investigate the clinical efficacy of percutaneous transhepatic biliary drainage and stent implantation in the treatment of malignant obstructive jaundice .Methods:Under the C arm , 16 cases of malignant obstructive jaundice were treated by percu-taneous liver biopsy biliary drainage and stenting treatment inside and outside .Results:of 16 cases, 14 cases of a line of stenting is suc-cessful ,2 cases because of outside thread can't through the narrow first drainage stent success again after 1 week.Postoperative patients with jaundice were improved to varying degrees ,A small amount of pleural effusion in 1 case.Conclusion:Percutaneous liver biopsy biliary drainage and stenting treatment of malignant obstructive jaundice curative effect should be reliable ,Small trauma, relieve symptoms quick-ly, fewer complications , and could obviously improve the patients quality of life , prolong survival time .