[1]汪建,综述,孙子雯①,等.晚期恶性梗阻性黄疸的双介入治疗现状[J].中国微创外科杂志,2016,16(12):1143-1154.
 Wang Jian*,Sun Ziwen,Niu Hongxin..Dual Interventional Therapy for Malignant Obstructive Jaundice[J].Chinese Journal of Minimally Invasive Surgery,2016,16(12):1143-1154.
点击复制

晚期恶性梗阻性黄疸的双介入治疗现状()
分享到:

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
16
期数:
2016年12期
页码:
1143-1154
栏目:
文献综述
出版日期:
2016-12-20

文章信息/Info

Title:
Dual Interventional Therapy for Malignant Obstructive Jaundice
作者:
汪建综述孙子雯①牛洪欣**①审校
济南大学山东省医学科学院医学与生命科学学院,济南250062
Author(s):
Wang Jian* Sun Ziwen Niu Hongxin.
*College of Medical and Life Science, Shandong Academy of Medical Sciences, University of Jinan, Jinan 250062, China
关键词:
双介入治疗恶性梗阻性黄疸
Keywords:
Dual interventional treatmentMalignant obstructive jaundice
文献标志码:
A
摘要:
恶性梗阻性黄疸是胆管癌、胰腺癌及壶腹部恶性肿瘤侵及胆道系统而引起的胆汁排泄受阻,因缺乏有效的治疗方法,预后较差。近年来,随着科技和影像技术的迅速发展,经皮经肝胆管穿刺置管引流(percutaneous transhepatic cholangial drainage,PTCD)或胆道支架置入与放射性粒子植入相结合,腔内导管射频消融联合胆道支架置入等双介入治疗技术应用于恶性梗阻性黄疸的治疗,可解除胆道梗阻,缓解黄疸。本文对PTCD联合放射性粒子植入、胆道支架联合放射性粒子植入及腔内导管射频消融联合胆道支架置入技术的临床应用作一综述。
Abstract:
Malignant obstructive jaundice is the bile obstruction caused by the invasion of cholangiocarcinoma, pancreatic cancer or ampulla cancer. Due to lack of effective treatment, the prognosis is poor. In recent years, with the rapid development of medical technology and imaging technology, dual interventional treatment technology, such as percutaneous transhepatic cholangial drainage (PTCD) or biliary stenting combined with radioactive seed implantation, ablation catheter lumen combined with biliary stent implantation, is applied in the treatment of malignant obstructive jaundice. This article is the summary of the clinical application of PTCD combined with radioactive seed implantation, biliary stent combined with radioactive seed implantation and intraluminal catheter radiofrequency ablation combined with biliary stent implantation technique.

参考文献/References:

[1]Xing GS,Geng JC,Han XW,et al.Endobiliary brush cytology during pereutaneous transhepatie eholangiodrainage in patients withobstmctive jaundiee.Hepatobiliary Panereat Dis Int,2005,4(1):98-103.
[2]赵晓阳,曹会存,李天晓,等.经皮肝穿胆道引流术联合125I粒子植入治疗晚期胰腺癌合并梗阻性黄疸.介入放射学杂志,2013,22(8):650-654.
[3]金一琦,陈磊,沈利明,等.经引流管I125粒子植入治疗恶性胆管狭窄的初步经验.南京医科大学学报,2009,29(9):1320-1321.
[4]陈斌,谢宗贵,毛延发,等.可携带125I粒子的胆道引流导管的研制报告.介入放射学杂志,2015,24(2):154-157.
[5]牛洪欣,徐忠法.转移性肝癌的微创治疗策略.肝胆胰外科杂志,2014,26(3):258-261.
[6]覃忠,黎乐群,彭民浩,等.镍钛形状记忆合金胆道内支架治疗梗阻性黄疸的临床应用.广西医科大学学报,2005,22(3):403-404.
[7]周毅,宋一民,栾瑞,等.放射性镍钛合金内支架治疗晚期恶性胆管梗阻.中华肝胆外科杂志,2003,9(3):157-160.
[8]戴真煜,姚立正, 李文会,等.经皮胆道支架联合支架旁125Ⅰ粒子条植入治疗恶性胆道梗阻.介入放射学杂志,2011,20(9):706-708.
[9]李文会,罗剑钧,戴真煜,等.腔内近距离放疗联合及支架植入治疗恶性胆道梗阻.介入放射学杂志,2015,24(3):215-218.
[10]陈旭,朱光宇,滕皋军,等.胆管内照射支架应用的实验研究.介入放射学杂志,2012,21(5):399-404.
[11]Zhu HD,Guo JH,Zhu GY,et al.A novel biliary stentloaded with 125I seeds in patients with malignant biliary obstruction: preliminary results versus a conventional biliary stent.J Hepatol,2012,56(5):1104-1111.
[12]费圣贤,刘会春,孙喆,等.胆道支架联合125I粒子腔内治疗胆管癌恶性黄疸的疗效评价.中国肿瘤临床,2015,42(11):564-569.
[13]Huang JY,Yang WZ,Jiang N,et al.Percutaneous implantation of 125 I seed-strip combined with biliary stent for the treatment of malignant biliary obstruction:analysis of 38 cases.J Intervent Radiol,2014,23(7):633-636.
[14]Yao HX,Chen GS,Ye GX,et al.Biliary stenting combined with 125I seed implantation intracavitary irradiation for the treatment of malignant obstructive jaundice.J Intervent Radiol,2014,23(10):893-896.
[15]Han CL,Ma YL,Ou SQ,et al.125 I seed-strip combined with biliary stent implantation for malignant obstructive jaundice:clinical analysis of 22 cases.J Intervent Radiol,2015,24(2):141-145.
[16]沈阳,刘爱国,米新,等.局部覆有放射膜的管腔支架研制.医疗装备,2011,24(1):1-3.
[17]Steel AW,Postgate AJ,Khorsandi S,et al.Endoscopically applied radiofrequency ablation appears to be safe in the treatment of malignant biliary obstruction.Gastrointest Endosc,2011,73(1):149-153.
[18]吴军,潘亚敏,王田田,等.胆道支架引流联合腔内射频消融治疗胆道恶性梗阻.第二军医大学学报,2013,34(3):257-260.

备注/Memo

备注/Memo:
基金项目:山东省科技发展计划项目(2014GSF118182);山东省医学科学院医药卫生科技创新工程**通讯作者,E-mail:sdblache@126.com①(山东省医学科学院附属医院微创外科,济南250031)
更新日期/Last Update: 2017-03-09