论文部分内容阅读
肝门部胆管癌早期诊断困难，手术切除率低，多采用外引流的方法，存在引流不畅。逆行感染，生活不便等缺点。作者自行选材制成“Ｚ”形不锈钢自展支架，对４例无法手术切除的肝门部胆管癌病人行胆道支架放置术，术后短期随访效果良好。文章对胆道支架的种类、放置途径及优缺点、手术操作注意事项、技巧、并发症等问题进行了讨论。认为自制的不锈钢自展支架支架价格便宜，效果满意，是可供选择的方法之一；但由于本组病例少，尚需进一步积累经验。
Early diagnosis of hilar cholangiocarcinoma is difficult, and the rate of surgical resection is low. External drainage is often used and there is poor drainage. Retrograde infection, inconvenience in life and other shortcomings. The author selected the material to make a “Z” shaped stainless steel self-expanding stent. He had biliary stent placement in 4 patients with inoperable hilar cholangiocarcinoma. The short-term follow-up results were good. The article discusses the types of biliary stents, their placement methods and advantages and disadvantages, surgical precautions, techniques, and complications. The self-made stainless steel self-expanding stent stent is considered as one of the available methods because of its low price and satisfactory results. However, due to the small number of cases in this group, further experience needs to be accumulated.