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[胰腺肿瘤。使用内支架对胆总管恶性狭窄进行治疗性内镜检查]

[Pancreatic tumors. Therapeutic endoscopy of malignant stenoses of the common bile duct using endoprostheses].

作者信息

Liberato M, Romão C, Duarte C, Figueiredo A, Quina M

机构信息

Clínica Universitária de Medicina Interna e Gastrenterologia, Hospital Pulido Valente, Lisboa.

出版信息

Acta Med Port. 1995 Jun;8 Suppl 1:S31-3.

PMID:7653303
Abstract

From September 1987 to April 1994, 144 biliary endoprostheses were introduced (81 male; 63 female; mean age 68.7 years) in patients presenting distal stricture of the common bile duct by pancreatic tumors. 135 plastic (10 and 12 French) and 9 metallic (30 French) prostheses were placed. The most common complication associated with plastic prostheses is clogging (16%); this problem was solved with the use of metallic prosthesis, which is limited by their high cost. The mortality and morbidity are lower and the time hospital discharge is shorter until, than the ones associated with bilio-digestive anastomosis; mean survival is similar with two procedures endoscopy/surgery.

摘要

1987年9月至1994年4月,对因胰腺肿瘤导致胆总管远端狭窄的患者植入了144个胆道内支架(男性81例,女性63例,平均年龄68.7岁)。共置入135个塑料支架(10F和12F)和9个金属支架(30F)。与塑料支架相关的最常见并发症是堵塞(16%);使用金属支架可解决这一问题,但金属支架因成本高昂而受到限制。与胆肠吻合术相比,其死亡率和发病率较低,住院时间较短;内镜检查/手术这两种操作的平均生存期相似。

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