Coons H
Radiology Department, Sharp Memorial Hospital, San Diego, California 92123.
Cardiovasc Intervent Radiol. 1990 Aug-Sep;13(4):211-6. doi: 10.1007/BF02578021.
Interventional procedures in the biliary tree are often considered the most difficult in interventional radiology. Patients are often critically ill and complications are often serious. A discussion of successful techniques and the instrumentation to accomplish these techniques is described. Handy hints are given for some unique and challenging problems. In addition to discussing drainage techniques, there is a discussion of strictures and stone removal, as well as the treatment of high malignant obstructions. The hope is that this review will give a ground-work for attacking these difficult cases.
胆道介入手术通常被认为是介入放射学中最具难度的操作。患者往往病情危急,并发症也常常较为严重。本文描述了成功的技术以及完成这些技术所需的器械。针对一些独特且具有挑战性的问题给出了实用提示。除了讨论引流技术外,还探讨了狭窄和结石清除以及高位恶性梗阻的治疗。希望这篇综述能为攻克这些疑难病例奠定基础。