CAJ | 학술논문

目的：探讨经皮肝穿胆道引流及支架置入术治疗恶性阻塞性黄疸的临床效果。方法对该院51例恶性阻塞性黄疸患者，在数字减影血管造影机（DSA）引导下，经皮肝穿刺胆道引流及支架置入术，并对比手术前和手术后肝功及黄疸的改善情况。结果51例患者，31例放置支架（37枚），19例单纯外引流。手术成功30例（98%），1例穿刺失败。1例气胸，3例胆汁性腹膜炎，3例胆道出血，并发症发生率13.7%。术后的血清总胆红素有明显降低，手术前后差异具有统计学意义（P＜0.05）。结论经皮肝穿胆道引流及支架置入术，在恶性阻塞性黄疸的治疗过程中，疗效可靠，创伤小，症状缓解速度快，且并发症少，能有效提升患者的生存质量。
목적：탐토경피간천담도인류급지가치입술치료악성조새성황달적림상효과。방법대해원51례악성조새성황달환자，재수자감영혈관조영궤（DSA）인도하，경피간천자담도인류급지가치입술，병대비수술전화수술후간공급황달적개선정황。결과51례환자，31례방치지가（37매），19례단순외인류。수술성공30례（98%），1례천자실패。1례기흉，3례담즙성복막염，3례담도출혈，병발증발생솔13.7%。술후적혈청총담홍소유명현강저，수술전후차이구유통계학의의（P＜0.05）。결론경피간천담도인류급지가치입술，재악성조새성황달적치료과정중，료효가고，창상소，증상완해속도쾌，차병발증소，능유효제승환자적생존질량。
Objective To observe the clinical effect of percutaneous transhepatic biliary drainage and stent implantation in the treatment of malignant obstructive jaundice. Methods in our hospital, 31 cases of malignant obstructive jaundice patients, in the digital subtraction angiography (DSA) guided, percutaneous transhepatic biliary drainage and stent implantation, and to improve the situation of liver and jaundice contrast before and after operation. Results among the 31 cases, 19 cases of stent placement (23), 11 cases of simple external drainage.The operation was successful in 30 cases (96.8%), 1 cases failed. 1 cases of pneumothorax, 2 cases of bileperitonitis, 2 cases of biliary tract bleeding, complication rate 16.7%. Serum total bilirubin after operation were signifi-cantly decreased. The difference has statistical significance before and after operation (P < 0.05). Conclusion percutaneous tran-shepatic biliary drainage and stenting, surgical treatment is safe in the process ofmalignant obstructive jaundice, and and the cura-tive effect is reliable.