第一军医大学学报2003，Vol.23Issue(12)：1237-1241,5.
金属支架、内涵管治疗恶性胆道梗阻的临床疗效比较(多中心研究)
Comparative assessment of clinical efficacy of percutaneous transhepatic metal versus plastic biliary stent implantation for malignant biliary obstruction: a multi-centered investigation
郭元星 1李彦豪 1陈勇 1俞志坚 1陈平雁 2罗鹏飞 3李勇 3单鸿 4姜在波4
作者信息
- 1. 第一军医大学南方医院介入治疗科,广东,广州,510515
- 2. 第一军医大学统计教研室,广东,广州,510515
- 3. 广东省人民医院肿瘤介入科,广东,广州,510080
- 4. 中山大学第三医院肿瘤介入科,广东,广州,510630
- 折叠
摘要
Abstract
Objective To compare the clinical efficacy of metal versus plastic biliary stent implantation for treatment of malignant biliary obstruction. Methods Percutaneous transhepatic implantations of self-expandable metal stent (MS, n=61) or 10F plastic stent (PS, n=34) were performed in 95 patients with malignant biliary obstruction selected from 3 hospitals of Guangdong Province. All patients were followed up until death or at least one year after the procedure. Kaplan-Meier analysis was used to compare the patients' survival and stent patency rates. Results The 30-day mortality rate was lower in MS group (6/61, 9.8%) than in PS group (9/34, 26.5%, P＜0.05). The 30-day reobstruction rate and incidence of complications were 15.0%, 16.4% in MS group and 32.4%, 29.4% in PS group, respectively (P＜0.01). The median patency period of the stents and median survival period of the patients were 230 d, 224 d in MS group and 90 d, 94 d in PS group, respectively (P＜0.01).Conclusion Metal stent implantation is superior to plastic stent for treatment of malignant biliary obstruction.关键词
放射学,介入性/内支架/胆管阻塞Key words
radiology, interventional/stent/biliary obstruction分类
医药卫生引用本文复制引用
郭元星,李彦豪,陈勇,俞志坚,陈平雁,罗鹏飞,李勇,单鸿,姜在波..金属支架、内涵管治疗恶性胆道梗阻的临床疗效比较(多中心研究)[J].第一军医大学学报,2003,23(12):1237-1241,5.
