Haq T U, Sanaullah M, Mohsin H, Sheikh M Y, Ahmed B
Department of Radiology, Aga Khan University Hospital, Karachi.
J Pak Med Assoc. 2001 Sep;51(9):308-12.
Bilary stenting with endoprosthesis is a palliative procedure to relieve malignant biliary obstruction. Percutaneous transhepatic technique has been employed whenever endoscopic technique was not possible or had failed.
Angiography/intervention suite, department of radiology, Aga Khan University hospital, Karachi.
We present retrospective analysis of 17 patients with malignant jaundice who were treated with percutaneous techniques after the endoscopic route had failed.
The success rate was 94% with placement of single plastic stent in 14 patients, double stents in 3 patients and self-expandable stent in one patient. The overall complication rate was 41% including sepsis, liver abscess, biloma formation, biliary leakage and stent occlusion. There was one procedure related death due to severe sepsis.
Percutaneous transhepatic biliary stenting is an alternative procedure to relieve malignant biliary obstruction with high complication rate and should be reserved for selected patients in whom endoscopic route has failed.
使用内支架进行胆道支架置入术是一种缓解恶性胆道梗阻的姑息性手术。每当内镜技术不可行或失败时，就会采用经皮肝穿刺技术。
卡拉奇阿迦汗大学医院放射科血管造影/介入室。
我们对17例恶性黄疸患者进行了回顾性分析，这些患者在内镜治疗失败后接受了经皮技术治疗。
14例患者置入单个塑料支架，3例患者置入双支架，1例患者置入自膨式支架，成功率为94%。总体并发症发生率为41%，包括败血症、肝脓肿、胆汁瘤形成、胆漏和支架阻塞。有1例患者因严重败血症死于手术相关并发症。
经皮肝穿刺胆道支架置入术是缓解恶性胆道梗阻的一种替代手术，并发症发生率高，应仅用于内镜治疗失败的特定患者。
