Effect of pecutaneous transhepatic biliary internal external drainage in treatment of malignant biliary obstruction
- VernacularTitle:经皮肝穿胆道内外引流治疗恶性梗阻性黄疸
- Author:
Guanghua FENG
;
Yang CAI
;
Deqi YANG
- Publication Type:Journal Article
- Keywords:
Intervention radiology;
Biliary obstruction;
Biliary drainage
- From:
Journal of Clinical Surgery
1999;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical value of percutaneous transchepatic biliary internal external drainage (PTBIED) in treatment of malignant biliary obstruction.Methods Forty-three patients with malignant biliary obstruction,including 14 cases with hilary metastasis cancer 8 with carcinoma of gallbladder,8 with hilary biliary cancer,13 with pancreatic cancer were treated with PTBIED.Results The technical success rate was 90%.The serum total bilirubin almost fell to normal level in 40 patients.Four cases (9.3%) died within 1 month, twenty (46.5%) cases died within 6 months,thirteen (30.2%) cases are still alive 12 months later.The complications cases mild hemobilia (8 cases,18.6%),bacteriemia(10 cases,23.3%),retrograde infection(6 included,14.0%).Conclusion PTBIED is an effective and safe therapeutic method for palliation of malignant biliary obstruction.
