摘要
目的观察胆管癌外科术后阻塞性黄疸的介入治疗疗效。方法回顾性分析1998年12月～2009年10月驻马店市中心医院收治的25例胆管癌外科术后出现阻塞性黄疸并采取介入治疗的患者临床资料,观察其疗效。结果 25例患者的总胆红素和直接胆红素水平1个月内由术前的(211.1±118.0)μmol/L和(146.5±86.9)μmol/L降为术后的(105.8±68.6)μmol/L和(80.2±49.2)μmol/L,下降显著(P﹤0.05)。15例患者PTC术中行胆道钳夹活检,技术成功率100%,未出现消化道出血、穿孔等并发症。其中10例根治性切除患者于胆肠吻合口处行钳夹活检,3例病理提示瘢痕性狭窄,给予内外引流管置入;7例为肿瘤复发,6例给予胆道金属支架置入,1例给予内外引流管置入。结论 (1)胆管癌外科术后阻塞性黄疸患者采取介入方法降黄效果明显,操作简单,并发症少;(2)PTC术中胆道活检诊断胆肠吻合口狭窄操作简单,准确。
OBJECTIVE To observe the effect of interventional in treatment of obstructive jaundice after surgical intervention in patients with cholangiocarcinoma. METHODS A retrospective analysis was conducted among patients admitted to Zhumadian Centre Hospital from December 1998 to October 2009, and these 25 cholangioearcinoma cases showed obstructive jaundice after surgery and received interventional treatment. RESULTS The total bilirubin and direct bilirubin levels of 25 cases within 1 month were decreased from 211.1 ±118.0μmol/L to 105.8 ± 68.6μmol/L, and from 146.5± 86.9μmol/L to 80.2± 49.2μmol/ L, respeetivley （P 〈 0.05）. Percutaneous transhepatic cholangiobiopsy was performed in 15 patients, and the successful rate reached 100%, and no gastrointestinal bleeding and perforation occurred. CONCLUSION （1） Percutaneous transhepatic eholangiography and drainage is benefit to alleviate jaundice for patients with cholangiocarcinoma after surgical intervention, of- fer the advantages of simplicity and induce less complications. （2） The procedures of pathological diagnosis by PTCB in anasto- motie stenosis after cholangiojejunostomy of malignant obstuctive jaundice are simplicity and safety.
出处
《现代预防医学》
CAS
北大核心
2012年第16期4298-4300,共3页
Modern Preventive Medicine
关键词
胆管癌
外科术后
阻塞性黄疸
介入放射学
Cholangiocarcinoma
Postoperation
Obstructive jaundice
Interventional radiology
