CAJ | 학술논문

目的探讨经内镜平行法双金属支架引流治疗晚期肝门部胆管恶性梗阻的安全性和疗效.方法 2011年1月至2012年9月对11例晚期肝门部胆管恶性梗阻的病人采用内镜平行法双金属支架引流治疗,观察疗效及安全性.结果 10例成功置入左右双金属支架,全组无研究并发症及死亡病例.9例引流有效.发生2例轻微内镜相关并发症.10例双支架治疗病人中4例死亡,死亡时均无腹痛、黄疸、发热等支架阻塞迹象,生存128 ～ 185 d,失访1例,其余5例病人均在随访中.结论内镜平行法双金属支架引流治疗晚期肝门部胆管恶性梗阻是安全可行的.
목적 탐토경내경평행법쌍금속지가인류치료만기간문부담관악성경조적안전성화료효.방법 2011년1월지2012년9월대11례만기간문부담관악성경조적병인채용내경평행법쌍금속지가인류치료,관찰료효급안전성.결과 10례성공치입좌우쌍금속지가,전조무연구병발증급사망병례.9례인류유효.발생2례경미내경상관병발증.10례쌍지가치료병인중4례사망,사망시균무복통、황달、발열등지가조새적상,생존128 ～ 185 d,실방1례,기여5례병인균재수방중.결론 내경평행법쌍금속지가인류치료만기간문부담관악성경조시안전가행적.
Objective To explore the effects and safety of endoscopic parallel placement of double metal stents on unresectable hilar malignant obstruction.Methods The clinical data of 11 patients with malignant hilar obstructive jaundice due to advanced carcinoma who were treated with parallel placement of double biliary stents from January 2011 to September 2012 were retrospectively analyzed.Results Out of 11 patients,10(90.9％) were successfully embedded with double biliary stents and 4 were dead during the follow-up.There was no sign of stent occlusion during the follow-up period.The survival time ranges from 128 to 185 days.One case was lost during the follow-up and 5 others are still alive.Conclusion The endoscopic parallel placement of double biliary stents is effective and safe for patients with unresectable malignant hilar obstruction.