The clinical application of single channel and double Chinese-made biliary stent in high biliary malig-nant obstructive jaundice
10.11904/j.issn.1002-3070.2014.06.006
- VernacularTitle:单通道双国产胆道支架在恶性高位梗阻性黄疸的临床应用
- Author:
Guang YANG
;
Dongfeng HE
;
Yi YANG
- Publication Type:Journal Article
- Keywords:
Malignant obstructive jaundice;
Hepatic hilum;
Percutaneous transhepatic cholangial drain-age;
Chinese-made biliary sten;
Single channel
- From:
Practical Oncology Journal
2014;(6):508-513
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discussion the efficacy and safety of single channel and double chinese -made biliary stent in high biliary malignant hilar obstructive jaundice .Methods We reviewed the clinical data of 24 malignant hilar obstructive jaundice patients treated with single channel and double chinese -made biliary stent from October 2012 to December 2013 retrospectively.Of which 9 cases(study group)were used for single channel and double stenttreatment,and 15 cases(control group)were treated by the bilateral channel;We compared the number of intraoperative percutaneous puncture hepatic duct , radiation exposure doses , operation time , drainage effectiveness and complication rates in the two groups .Results The average number of percutaneous puncture hepatic duct in the study group was 1.44 ±0.53 times,which was significantly lower than the control group (3.73 ±0.70 times).The fluoroscopy time and radiation exposure dose of study group was 1152.22 ±335.61 s and 653.22 ±207.02 mGy,which was slightly less than the control group (1236.93 ±463.43 s and 727.00 ±348.52 mGy),the difference was not statistically significant (P=0.638;P=0.572).Liver function was tested after 4 W, the drainage effectiveness of study group and the control group were 88.9%(eight-nineths),86.7%(thirteen-fifteenths),the difference was not statistically significant .One case occurred bile leakage in the study group ,2 pa-tients with hemobilia in control group ,both groups showed no serious complication .Conclusion The single chan-nel and double chinese -made biliary stent to treat high biliary malignant hilar obstructive jaundice is minimally injured and effective ,which can be selectively applied to treat patients with hepatic hilum malignant obstructive jaundice .
