Percutaneous transampulla stent implantation for the treatment of lower malignant obstructive jaundice: an analysis of related factors influencing the stent patency
10.3969/j.issn.1008-794X.2018.02.010
- VernacularTitle:跨壶腹部支架植入术治疗低位恶性胆道梗阻的通畅性分析
- Author:
Jinxing ZHANG
1
;
Qingquan ZU
;
Guangdong LU
;
Sheng LIU
;
Haibin SHI
Author Information
1. 210029,南京医科大学第一附属医院介入放射科
- Keywords:
lower obstructive jaundice;
duodenal ampulla region;
stent;
patency time
- From:
Journal of Interventional Radiology
2018;27(2):137-140
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate percutaneous transampulla stent implantation in treating lower malignant obstructive jaundice, and to discuss the related factors that may influence the stent patency time. Methods The clinical data of a total of 104 patients with lower malignant obstructive jaundice, who received percutaneous transampulla stent implantation during the period from January 2010 to March 2016, were retrospectively analyzed. The parameters, including gender, age, primary tumor type, preoperative external drainage, total bilirubin (TBIL), albumin (ALB), glutamic-pyruvic transaminase (ALT), glutamic oxaloacetic transaminase (AST), white blood cell (WBC) count, platelet (PLT) count, hemoglobin (HGB) and length of biliary stricture, were used to evaluate the risk factors related to postoperative patency time. Results Single Cox regression analysis showed that primary tumor type, ALB, WBC count, length of biliary stricture were the related factors that significantly affected the stent patency time. The Cox regression analysis further indicated that primary tumor type and length of biliary stricture were the important related factors that significantly affected the stent patency time. Conclusion In treating lower malignant obstructive jaundice with percutaneous transampulla stent implantation, primary tumor type and length of biliary stricture may be the important related factors that affect the stent patency time. These parameters are of great value in estimating the stent patency time.
