目的探讨新型的 T/Y 型胆道金属支架在肝门部恶性胆道梗阻中的临床应用价值。材料与方法总结2004年6月至2006年12月,12例经检查确诊为肝门部恶性胆道梗阻(已无手术治疗指征)的病人,先行右侧或双侧 PTCD 引流,再根据双侧肝管胆管的夹角植入 T 型或 Y 型胆道金属支架。T/Y 型胆道金属支架由韩国 TAEWOONG MEDICAL 公司生产。结果 12例病人均成功植入支架,其中单侧植入 T 型支架9例,双侧植入成 Y 型3例,术后病人黄疸指数、胆管扩张情况有不同程度的改善,改善了胆道梗阻情况并实现了内引流。结论 T/Y 型胆道支架在肝门部恶性胆道梗阻治疗中具有创伤少、操作简便、内引流效果好的优点。
Purpose:To summerize our experience with the use of self-expanding metallic stents(SEMS)in temporary managemand of acute malignant colorectal obstruction. Material and methods:A retrospective chart review of all patie...
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Purpose:To summerize our experience with the use of self-expanding metallic stents(SEMS)in temporary managemand of acute malignant colorectal obstruction. Material and methods:A retrospective chart review of all patients undergoing placement of SEMS between Apt 2000 and Oct 2005 was performed. Results:Insertion of SEMS was attempted in 50 patients under fluoroscopic guidance with occasional endoscopic assistance.56 stents were placed in 50 *** locations of lesions were splenic flexure(3),left colon(7), sigmoid colon(22)and Rectum(18)and as a bridge to elective surgery in all *** placement allowed tbr preoperative systemic and bowel preparation one-stage *** did not disappear in one patient after successful placement of SEMS,6 SEMS-related minor complications occurred;4 stent migrated,2 anal pain. Conclusion:SEMS represent a useful tool in the management of obstructing colorectal *** a bridge to surgery,SEMS provide time for a mechanical bowel preparation and sysemetic support and may obviate the need for fecal diversion or on-table iavage.
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