老年人恶性胆道梗阻经皮介入治疗临床分析

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老年人恶性胆道梗阻经皮介入治疗临床分析作者：方晓徐艺桐

来源：《中国当代医药》2011年第19期

[摘要] 目的：观察和分析老年人恶性胆道梗阻经皮介入治疗的临床价值。方法：收集本院介入病房收治的大于70岁的患有恶性胆道梗阻的老年人患者98例，其中60例接受PTCD，38例接受经皮胆道内支架置入术包括15例分两步先行外引流术后择期行支架植入术。结果：27例发生并发症，死亡3例。除死亡患者外，患者黄疸均不同程度减轻，胆红素指标明显好转。结论：老年恶性胆道梗阻患者经皮介入治疗是姑息减黄比较安全的方法，围术期积极处理极为重要，可以明显减低并发症及死亡率。

[关键词] 梗阻性黄疸；并发症；经皮介入治疗；恶性

[中图分类号] R57 [文献标识码]A[文章编号]1674-4721（2011）07（a）-030-02

Clinical analysis of percutanneous intervention for elderly patients withm alignant obstructive jaundice

FANG Xiao1, XU Yitong2

1. Department of Interventional Radiology, the First Affiliated Hospital of China Medical University, Liaoning Province, Shenyang 110001, China;

2. Clinical Medicine of 94 Period, China Medical University, Liaoning Province, Shenyang 110001, China

[Abstract] Objective: To study the clinical value of percutaneous intervention which include perutaneous transhepatic cholangial dranage and stenting for elderly patients with m alignant obstructive jaudice. Methods: Data of 98 cases with m alignant obstructive jaundice in elderly were collected. 60 cases got PTCD and 38 got stenting including 15 cases got PTCD and stenting by two steps. All successed in the intervention. Results: All successed in the intervention. The levels of serum total bilirubin (TB) decrease significantly after the procedure. And complications occurred in 27 cases and 4 death. Except for the death, all cases got satisfying results. Conclusion: Percutaneous intervention is safe and effectives as a palliative treatment for elderly patients suffering from m alignant obstructive jaundice with low incidence of critical complications and low fatality, and reasonable per-intervention treatment is very important for decreasing complications and fatality.

[Key words] Obstructive jaundice; Complications; Percutaneous intervention; M alignant