%0 Journal Article
%T 高位恶性胆道梗阻胆道双支架植入的疗效
%A 单保恩
%A 吴勇超
%A 李智岗
%A 李顺宗
%A 武中林
%A 谷铁树
%J 肿瘤防治研究
%D 2015
%R 10.3971/j.issn.1000-8578.2015.05.017
%X 摘要 目的 分析胆道双支架植入联合胆道外引流治疗高位恶性胆道梗阻（malignant high biliary obstruction，MHBO）临床疗效及应用价值。方法 MHBO患者96例，胆道双支架植入联合胆道外引流77例、胆道单支架植入并对侧引流11例、单纯胆道外引流8例；观察术后近、远期疗效。结果 胆道双支架植入联合胆道外引流77例，成功率为80.21%。96例MHBO患者术前总胆红素、直接胆红素、谷丙转氨酶、谷草转氨酶与术后第7、14天比较，差异有统计学意义（P<0.05）；术后第21天胆道双支架植入患者总胆红素下降率（92.56%）明显高于胆道单支架植入并对侧引流和单纯胆道外引流患者（61.53%），差异有统计学意义（P<0.05）。77例胆道双支架植入患者3、6、9、12、15、18、21月生存率分别为98.70%、88.31%、76.62%、46.75%、18.18%、2.6%、1.3%。结论 胆道双支架植入联合胆道外引流治疗MHBO是一种安全有效的方法，不仅能够迅速退黄并恢复肝功能，为肿瘤的进一步治疗赢取了时间，而且能提高患者的生存质量及延长生存期
%K 黄疸
%K 高位胆道阻塞
%K 支架
%K 介入治疗
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%U http://www.zlfzyj.com/CN/abstract/abstract8497.shtml