摘要
目的探讨良性胆管狭窄内支架引流的方法和临床价值.方法 22例良性胆管狭窄中,胆管手术后损伤狭窄12例,肝移植术后吻合口狭窄3例,硬化性胆管炎2例,胆总管下段炎性狭窄3例,慢性胰腺炎致胆总管狭窄2例.所有病人行ERCP,了解胆管狭窄部位、程度,循导丝采用支架置入释放技术置入塑料胆管支架.结果22倒置入单根塑料胆管支架一次性成功,成功率100%,2周内黄疸消失18例,黄疸减轻4例,平均随访6个月,18例狭窄解除取出支架,取出时间为3～12个月,4例处于随访之中.4例出现一过性高淀粉酶血症,无其它与操作有关的并发症.结论良性胆管狭窄内支架引流安全、有效、成功率高、并发症少,可避免病人手术或再次手术,选择合适的病例,可提高引流效果.
To explore the measures and clinical value of endoscopic stent drainage in patients with benign biliary stricture. In twenty-two patients with benign biliary stricture, there were twelve patients with bile duct stenosis after biliary surgery injury, 3 parients with anastomosis stricture after liver transplantation, 2 patients with sclerosing cholangitis, 3 patients with inflammatory stenosis in the lower part of common bile duct and 2 patients with common bile duct stenosis caused by chronic pancreatitis. All patients underwent ERCP to identify stricture site and degree of bile duct, and then plastic stents were implanted by stent implanting and releasing techque. The primary treatment was successful in 22 of the 22 patients(100%). Jaundice disappeared in 18 cases and relieved in 4 cases within 2 weeks after 6 month′s follow-up.Stent were remove in 18 cases after stricture relieved, the remaining 4 cases were still in close follow-up. Four patients developed transient hyperamylasemia,no other complications relating to the procedure occurred. [Conclusions] Endosopic stent drainage is a safe and effective measure for treating bening bile duct stricture with high success rate and low complications.Therefore,operation or re-operation can be avoided if indications are defined properly,the drainage effect would be better .
出处
《中国内镜杂志》
CSCD
北大核心
2005年第2期182-184,187,共4页
China Journal of Endoscopy
关键词
胆管狭窄
支架
引流
bile duct stricture
stent
drainage
