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目的探讨放置胆管支架治疗胆管梗阻性疾病的可行性和疗效。方法回顾性分析解放军总医院消化疾病中心2006年4月至2007年2月对131例住院胆管梗阻性疾病患者行138例次放置胆管支架的诊治经过,分析其黄疸改善情况及并发症的发生率。结果全部患者均成功放置了胆管支架,术后3d血清总胆红素、直接胆红素、碱性磷酸酶和γ-谷氨酰转移酶均明显下降,差异有统计学意义。主要并发症为胆管炎及胰腺炎。结论放置胆管支架为治疗胆管梗阻性疾病的有效治疗方法,尤其是为失去手术机会的患者提供了重要的治疗方案。
Objective To investigate the feasibility and curative effect of biliary stents in the treatment of biliary obstructive diseases. Methods A retrospective analysis of the PLA General Hospital digestive disease center from April 2006 to February 2007 on 131 cases of hospitalized patients with biliary obstruction disease were placed in 138 cases of biliary stent diagnosis and treatment of their jaundice to improve the situation and the incidence of complications . Results All the patients were successfully placed biliary stents. Serum total bilirubin, direct bilirubin, alkaline phosphatase and γ-glutamyl transferase were significantly decreased after operation, the difference was statistically significant. The main complication is cholangitis and pancreatitis. Conclusion The placement of biliary stents for the treatment of biliary obstructive diseases, effective treatment, especially for patients who lost the opportunity to provide an important treatment.