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[恶性胆管狭窄的姑息治疗]

[Palliative therapy of malignant bile duct stenoses].

作者信息

Roeren T, Kauffmann G W

机构信息

Abteilung Radiodiagnostik, Radiologischen Universitätsklinik Heidelberg.

出版信息

Chirurg. 1994 Oct;65(10):825-31.

PMID:7529668
Abstract

The majority of patients (up to 80%) with malignant obstructive jaundice will not be eligible for curative treatment. Palliative treatment of choice is the percutaneous or endoscopic placement of endoprostheses with a low periprocedural morbidity and mortality. The development of expandable metallic stents led to improved patency rates compared to plastic endoprostheses. Reocclusion rates of approximately 20%, however, necessitate further improvements to optimize design and materials of these stents.

摘要

大多数恶性梗阻性黄疸患者(高达80%)不适合进行根治性治疗。首选的姑息性治疗方法是经皮或内镜下放置内支架,围手术期发病率和死亡率较低。与塑料内支架相比,可扩张金属支架的应用提高了通畅率。然而,约20%的再闭塞率表明,需要进一步改进以优化这些支架的设计和材料。

相似文献

1
[Palliative therapy of malignant bile duct stenoses].[恶性胆管狭窄的姑息治疗]
Chirurg. 1994 Oct;65(10):825-31.
2
[Percutaneous transhepatic metal stents in therapy of bile duct stenoses].经皮经肝金属支架治疗胆管狭窄
Z Gastroenterol. 1998 Dec;36(12):1037-46.
3
[Palliative endoscopic treatment of malignant occlusive jaundice with a balloon expandable metal stent].
Z Gastroenterol. 1993 Feb;31 Suppl 2:154-6.
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[Palliative surgical and endoscopic therapy of malignant bile duct occlusion].恶性胆管梗阻的姑息性外科及内镜治疗
Chirurg. 1994 Oct;65(10):836-48.
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Long-term outcome of biliary and duodenal stents in palliative treatment of patients with unresectable adenocarcinoma of the head of pancreas.胆管和十二指肠支架在不可切除胰头腺癌患者姑息治疗中的长期疗效
Am J Gastroenterol. 2006 Apr;101(4):735-42. doi: 10.1111/j.1572-0241.2006.00559.x.
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[Metal stents in the biliopancreatic duct system--assessment of current status].[金属支架在胆胰管系统中的应用现状评估]
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7
Sequential or simultaneous placement of self-expandable metallic stents for palliation of malignant biliary and duodenal obstruction due to unresectable pancreatic head carcinoma.序贯或同时置入自膨式金属支架用于缓解不可切除胰头癌所致的恶性胆管和十二指肠梗阻。
Surg Laparosc Endosc Percutan Tech. 2010 Dec;20(6):410-5. doi: 10.1097/SLE.0b013e3182001f26.
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[Cholestasis: interventional therapy].[胆汁淤积:介入治疗]
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[Endoscopic insertion of endoprostheses in malignant extrahepatic bile duct stenoses].
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[Which way ahead? Carcinoma of the exocrine pancreas, the gallbladder and the bile ducts--nonsurgical therapy in the locally advanced and in the metastasized stage].
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