Dooley J S, Dick R, Irving D, Olney J, Sherlock S
Clin Radiol. 1981 Mar;32(2):163-72. doi: 10.1016/s0009-9260(81)80153-5.
Benign and malignant biliary strictures can be treated by the percutaneous transhepatic insertion of an endoprosthesis. We report the use of this technique in 44 patients, with a detailed description of the procedure. Insertion was successful in 41, three of whom later had elective surgery, and one, emergency laparotomy for biliary peritonitis. This patient died post-operatively. Cholestasis was relieved in 31 of the remaining 37 patients. Complications occurred in four. Twelve patients, all with malignant disease, died within 30 days of the procedure. The percutaneous insertion of a biliary endoprosthesis is a valuable alternative to surgery in selected patients. Complications can occur, and the prognosis depends on the nature of the underlying disease.
良性和恶性胆管狭窄均可通过经皮经肝置入内支架进行治疗。我们报告了该技术在44例患者中的应用情况，并对操作过程进行了详细描述。41例患者置入成功，其中3例随后接受了择期手术，1例因胆汁性腹膜炎接受了急诊剖腹手术，该患者术后死亡。其余37例患者中有31例胆汁淤积得到缓解。发生了4例并发症。12例患者均患有恶性疾病，在手术后30天内死亡。对于部分患者，经皮置入胆管内支架是一种有价值的手术替代方案。可能会发生并发症，预后取决于基础疾病的性质。
