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目的 探讨多支胆管梗阻介入性引流的方法及疗效。方法 2 1例多支胆管梗阻的患者根据不同情况 ,分别采用左右肝管同时植入支架内引流 (13例 )、左右肝管间植入支架经右肝管外引流(3例 )、右肝管支架内引流并左肝管外引流 (3例 )和右前叶肝管支架内引流并右后叶肝管外引流及左肝管内引流或外引流 (2例 )等内外引流技术进行治疗。结果 2 1例患者共植入胆道内支架 36枚 ,其中 35枚支架起到良好的内引流作用 ,1枚因位置不良无内引流作用。 19例患者胆道引流充分 ,黄疸完全消退。 2例患者黄疸未完全消退。结论 多种方式的胆道内外引流技术对大部分多支胆管梗阻患者治疗效果显著 ,值得进一步推广应用。
Objective To explore the method and efficacy of interventional drainage of multiple bile duct obstruction. Twenty-one patients with multiple bile duct obstruction were treated with simultaneous drainage of the left and right hepatic stents (n = 13), and the right and left hepatic stents received drainage through the right hepatic duct (n = 3) Drainage was performed in the stent, with drainage of the left hepatic duct (3 cases) and drainage of the right anterior hepatic duct stent with drainage of the right hepatic duct outside the hepatic duct and drainage of the left hepatic duct or external drainage (2 cases). Results A total of 36 biliary stents were implanted in 21 patients. Among them, 35 scaffolds performed good internal drainage and 1 failed internal drainage. 19 patients with adequate biliary drainage, jaundice completely subsided. Jaundice did not completely disappear in 2 patients. Conclusion Various methods of internal and external drainage of biliary tract have significant curative effect on most patients with bile duct obstruction and should be further popularized and applied.