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目的评价“Y”形支架治疗肝门部胆管梗阻的临床效果及价值。材料与方法12例肝门部胆管梗阻患者经皮肝穿刺,分别在左右肝管植入“Y”形支架,2枚支架并行放置10例,经第一枚支架网眼放置第2枚支架2例,其中8例联合抗肿瘤治疗。结果技术成功率100%,总胆红素术前(263.5±153.8)μmol/L,术后2周下降至(57.2±10.4)μmol/L,没有出现与植入支架有关的严重并发症发生及死亡病例。结论 “Y”形支架植入可有效解除肝门部胆管梗阻,联合抗肿瘤治疗可提高综合疗效。
Objective To evaluate the clinical effect and value of “Y” stent in the treatment of hilar bile duct obstruction. Materials and Methods Twelve cases of hilar bile duct obstruction were percutaneously transhepaticly punctured. The “Y” shaped stents were implanted in the left and right hepatic stents. Two stents were placed in parallel in 10 cases. The first stents were placed in the second stent 2 cases, of which 8 cases combined anti-tumor therapy. Results The technical success rate was 100%. Preoperative total bilirubin was (263.5 ± 153.8) μmol / L and decreased to (57.2 ± 10.4) μmol / L after 2 weeks. There was no serious complications related to stent implantation Deaths. Conclusion “Y ” stent implantation can effectively relieve hilar bile duct obstruction, combined with anti-tumor therapy can improve the overall efficacy.