内镜下双支架联合治疗恶性梗阻性黄疸的探讨

摘要

目的 探讨金属支架联合塑料支架在治疗恶性梗阻性黄疸中的应用.方法 对42例行十二指肠镜下放置金属支架联合塑料支架的患者,与单纯放置金属支架41例及单纯放置塑料支架39例做比较,观察其生存时间及更换支架的次数.结果 十二指肠镜下放置金属支架联合塑料支架42例生存时间较后两者明显延长,同时可以更换金属支架内的塑料支架.结论 十二指肠镜下放置金属支架联合塑料支架在恶性梗阻性黄疸中解决了过去不能更换支架的困难.同时延长了患者的生存期.%Objective To investigate the application of metal and plastic stents for malignant obstructive jaundice. Methods Therapeutic efficacy was compared among the 42 cases of plastic and metal stent placement, 41 cases of metal stent placement and 39 cases of plastic stent placement under duodenoscopy. The survival time and the numbers of stent replacement were compared. Results The survival time in group of combined application of metal stent placed plastic stent was significantly longer than the two others. Moreover the plastic stents can be replaced within the metal stent. Conclusion The application of metal and plastic stents for malignant obstructive jaundice can solve the difficulty of stent replacement and extend the survival of patients.