d'Alincourt A, Lerat F, Gibaud H, Paineau J, Leborgne J, Visset J
Hôpital G, Nantes.
J Radiol. 1998 Jan;79(1):39-43.
Thirty-five patients with malignant obstructive jaundice were given palliative treatment by percutaneous self-expandable metallic stents. Cholangiocarcinoma was the most frequent cause of biliary obstruction. The stricture was located in the hilum in more of 50% of cases.
Adequate biliary drainage was achieved in 97% of cases. Median survival was 182 days. 11% of patients have died within 30 days. Early complications occurred in 31% of patients. 25% of patients have shown recurrent jaundice after an average of 180 days.
Percutaneous self-expandable metallic stents are an efficient means treating malignant biliary strictures, particularly of upper 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治疗恶性胆管狭窄，尤其是上段胆道梗阻的有效手段。
