Management of malignant obstructive jaundice by Improved PTCD and percutaneous biliary tract stents placement
- VernacularTitle:改良经皮肝穿刺胆道引流术及经皮胆道支架置入治疗恶性梗阻性黄疸
- Author:
Huichun LIU
;
Zongkuang LI
;
Lei ZHOU
;
Yimin LU
;
Shaobo ZHOU
- Publication Type:Journal Article
- Keywords:
Malignant biliary obstruction;
Biliary tract stent plaeementp;
Pereutaneous transhepatic cholangiographic and drainage
- From:
Chinese Journal of Primary Medicine and Pharmacy
2008;15(12):1937-1938
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of improved percutaneous tramhepatic cholangiographic drainage(PTCD)and percutaneous placement of biliary metallic stents on the treatment of malignant obstructive jaundice.Methods Thirty three patients with malignant biliary obstruction were treated by the improved PTCD guided by ultrasound followed by pereutaneous placement of biliary tract metallic stcnts 1～3 weeks later.Results Improved PTCD WaS succeeded in all the patients,30 patients(90.9%)accepted percutaneous placement of biliary metallic stents successfully,3 patients who failed in stents placement accepted PTCD again for palliative management of iallndice.Thofle who failed in stent placement were found to have bleeding from the PTCD tube,but recovered several days later.Jaundice alleviated in all the patients.The patients were followed up for 1～29 months,medium follow-up period is 14.8 months.Six cases were found lever and jaundice,among that,two ageepted improved PTCD again,one recovered after antibioic treatment,the remaining 3 patients failed in further treatment due to the metastasis of the tumor.Condusion Pereutaneous placement of biliary metallic stents after improved PTCD is a safe and effeetive method to relieve malignant biliary obstruction,it can improve life quality,prolong survival time.This method could be a good choice for treating the patients with mnlignant biliary obstruction without operation.
