Tipaldi L, Minnetti M, Marsella A, Squillaci S
Radiologia e Diagnostica per Immagini, Istituto Regina Elena, Roma.
Minerva Chir. 1994 May;49(5):407-12.
Experience with percutaneous transhepatic biliary drainage (PBD) in 68 cases of malignant biliary obstructions, is described. 78 procedures (11 external drains, 36 internal-external drains, 17 soft endoprosthesis and 14 self-expandable metallic stents), were performed between December 1989 and December 1991. No significant differences in terms of results were found between internal endoprosthesis and metallic stents. The mortality rate of the procedure was 1.47% (1 case). Complications for the internal prostheses were: obstructions 8 (25.8%), dislodgement 2 (6.5%), cholangitis 1 (3.2%) and metastases along the catheter tract 1 (3.2%). Considering this, the Authors prefer the endoprosthesis instead of external or internal-external drainages.
本文描述了68例恶性胆管梗阻患者行经皮经肝胆道引流（PBD）的经验。在1989年12月至1991年12月期间共进行了78次操作（11次外引流、36次内外引流、17次软性内支架置入和14次自膨式金属支架置入）。在内置支架和金属支架的效果方面未发现显著差异。该操作的死亡率为1.47%（1例）。内置支架的并发症有：梗阻8例（25.8%）、移位2例（6.5%）、胆管炎1例（3.2%）和沿导管通道转移1例（3.2%）。考虑到这一点，作者更倾向于使用内支架而非外引流或内外引流。
