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目的探讨肝门部胆管恶性梗阻双侧支架引流的疗效、安全性。方法回顾性分析首都医科大学附属北京友谊医院、北京市消化疾病中心2002年10月至2003年12月肝门部胆管恶性梗阻患者22例双侧支架引流的有效率、并发症发生率、支架畅通时间及生存时间。结果22例肝门部胆管恶性梗阻患者均一次置入双侧支架成功,引流有效率81.8%(18/22),并发症发生率22.7%,其中胆管炎4例、胰腺炎1例,中位支架畅通时间113d,中位生存时间138d。结论对于BismuthⅡ、Ⅲ型肝门部恶性梗阻,双侧支架引流是安全有效的;对于BismuthⅣ型,双侧支架引流需慎重。
Objective To investigate the curative effect and safety of hilar biliary malignant obstruction bilateral stent drainage. Methods A retrospective analysis of Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing Municipal Center for Digestive Diseases from October 2002 to December 2003 in patients with hilar bile duct obstruction in 22 cases of bilateral stent drainage efficiency, complication rate, stent unobstructed Time and survival time. Results Twenty-two cases of hilar cholangiocarcinoma were successfully treated with bilateral stents. The effective rate of drainage was 81.8% (18/22) and the complication rate was 22.7%. Among them, 4 cases of cholangitis, 1 case of pancreatitis, Bracket unblocked time 113d, the median survival time 138d. Conclusion Bismuth type Ⅱ, Ⅲ hilar malignant obstruction, bilateral stent drainage is safe and effective; Bismuth Ⅳ type, bilateral stent drainage should be cautious.