中国内镜杂志2012，Vol.18Issue(11)：1205-1208,4.
经内镜置支架治疗晚期恶性梗阻性黄疸
Stent placement via endoscopy for advanced malignant obstructive jaundice
侯森林 1乔占英 1康建省 1乔娜 1张立超 1韩锦胜1
作者信息
- 1. 河北医科大学第二医院 微创外科,河北石家庄050000
- 折叠
摘要
Abstract
[Objective] To investigate the curative effect and prognosis of advanced malignant obstructive jaundice with endoscopic retrograde cholangiopancreatography (ERCP) of metal stent placement. [Methods] Two hundreds and ninety-two cases of malignant biliary obstruction whose biliary stent insertions received ERCP from June 2003 to June 2010 in our hospital were reviewed retrospectively. And analysis of the percent of success, incidence of complications, clinic effect and prognosis was made. [Results] 96.23% patients were successfully inserted the bile duct metal stent with ERCP. Compared with the levels of the total bilirubin, direct bilirubin, alkaline phosphatase and alanine aminotransferase before operation ,the indexes decreased one week after the stent insertion (P＜0.05). The main complications were infection, hemorrhage and pancreatitis. The incidence rate of complications was about 7.88%,The patients were remission after treatment and there was no operation related dead happened, the survival time was 7.21±4.68 month, the median survival time was 7.3month. [Conclusion] The curative effect in treatment of advanced malignant obstructive jaundice with ERCP of metal stent placement is definite. This method is easily operated and less complications, which improves the patient's quality of life.i关键词
胆管支架/恶性梗阻性黄疸/经内镜逆行胰胆管造影Key words
biliary stent/ malignant biliary obstruction/ endoscopic retrograde cholangiopancreatography (ERCP)分类
医药卫生引用本文复制引用
侯森林,乔占英,康建省,乔娜,张立超,韩锦胜..经内镜置支架治疗晚期恶性梗阻性黄疸[J].中国内镜杂志,2012,18(11):1205-1208,4.
