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PTCD及PTIBS姑息治疗恶性梗阻性黄疸临床疗效
引用本文:胡小波,曹建民,许健,陈波,朱志刚,孔伟东,卢光明. PTCD及PTIBS姑息治疗恶性梗阻性黄疸临床疗效[J]. 当代医学, 2009, 15(23): 399-401
作者姓名:胡小波  曹建民  许健  陈波  朱志刚  孔伟东  卢光明
作者单位:1. 江苏,221000,徐州医学院
2. 南京军区南京总医院影像科,210002
基金项目:国家自然科学基金资助项目:30870689 
摘    要:目的探讨经皮经肝胆管引流术(Percutaneous Transhepatic Cholangiography and Drainage,PTCD)及经皮经肝胆管内支架引流术(Percutaneous Transhepatic Insertion of Biliary Stent,PTIBS)治疗恶性梗阻性黄疽的临床疗效。方法恶性梗阻性黄疽24例,均采用DSA引导下PTCD或PTCD+EMBE术治疗,术后7~10d复查血生化指标。结果本组23例患者黄疸症状减退,7~10d后直接胆红素明显降低,肝功能改善,前后差异有统计学意义(P〈0.05)。1例患者引流不畅,黄疸无减退,2月后死亡,无严重并发症发生。结论PTCD是一种治疗恶性梗阻性黄疽姑息性治疗的有效方法,提高患者生存质量、延长生存期。具有创伤小、安全、简便、经济等优点.

关 键 词:经皮经肝胆道引流术  经皮经肝胆管内支架引流术  梗阻性黄疸

The Clinical Effect of The Palliative Cure to Obstructive Jaundice by PTCD and PTIBS
HU Xiao-bo,CAO Jian-min,XU Jian,CHEN Bo,ZHU Zhi-gang,KONG Wei-dong,LU Guang-ming. The Clinical Effect of The Palliative Cure to Obstructive Jaundice by PTCD and PTIBS[J]. Contemporary Medicine, 2009, 15(23): 399-401
Authors:HU Xiao-bo  CAO Jian-min  XU Jian  CHEN Bo  ZHU Zhi-gang  KONG Wei-dong  LU Guang-ming
Affiliation:HU Xiao-bo,CAO Jian-min,XU Jian,CHEN Bo,ZHU Zhi-gang,KONG Wei-dong,LU Guang-ming The Department of Medical Image,The PLA NanJing General hospital.Jiang Su Province,Nanjing 210002 China
Abstract:Objective: To research the clinical efficacy of the treatment for the malignant obstructive jaundice by Percutaneous Transhepatic Cholangiography and Drainage (PTCD) or Percutaneous Transhepatic Insertion of Biliary Stent (PTIBS). Methods 24 patients suffered with Malignant obstructive jaundice was treated by PTCD or PTCD+ PTIBS. Blood biochemical parameters was Compared after the operation 7~10 days. Result The Jaundice of 23 patients decreased immediately after the operation and the the severity of the Di...
Keywords:PTCD  PTIBS  obstructive jaundice  
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