Hamy A, d'Alincourt A, Paineau J, Lerat F, Gibaud H, Leborgne J, Visset J
Department of Radiology, Hôpital GR Laënnec, Nantes, France.
Eur J Surg Oncol. 1997 Oct;23(5):403-8. doi: 10.1016/s0748-7983(97)93719-7.
Thirty-five patients with malignant obstructive jaundice received palliative treatment using percutaneous self-expandable metallic stents. Cholangiocarcinoma was the most frequent cause of the biliary obstruction. In more than 50% of cases, the stricture was located in the hilum. Adequate biliary drainage was achieved in 97% of cases. Median survival was 182 days, and 11% of patients died within 30 days. Early complications occurred in 31% of patients, and 25% of patients showed recurrent jaundice after an average of 180 days. Percutaneous self-expandable metallic stents are an efficient means of palliatively treating malignant biliary strictures, particularly high biliary obstructions.
35例恶性梗阻性黄疸患者接受了经皮自膨式金属支架姑息治疗。胆管癌是胆道梗阻最常见的原因。超过50%的病例中，狭窄位于肝门部。97%的病例实现了充分的胆道引流。中位生存期为182天，11%的患者在30天内死亡。31%的患者发生早期并发症，25%的患者在平均180天后出现复发性黄疸。经皮自膨式金属支架是姑息治疗恶性胆管狭窄，尤其是高位胆道梗阻的有效手段。
