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目的:探讨内镜下胆道支架内引流术对无法手术根治性切除的恶性胆道梗阻的姑息性治疗的应用。方法:对19例无法手术根治性切除恶性胆道梗阻患者实行内镜下放置胆道支架治疗。结果:手术均成功,术后1周左右复查肝功能胆红素6例(31.6%)恢复正常,13例(68.4%)明显减退。术后随访4个月,无一例出现支架阻塞。结论:内镜下胆道支架内引流术,是解除手术无法切除的恶性胆道梗阻首选方法。
Objective: To investigate the application of endoscopic biliary stent drainage for palliative treatment of malignant biliary obstruction that is not surgically removed. Methods: Nineteen patients with malignant biliary obstruction who could not be surgically removed underwent endoscopic placement of biliary stents. Results: All the operations were successful. Six weeks after operation, 6 cases (31.6%) recovered bilirubin, and 13 cases (68.4%) regressed. Follow-up 4 months after surgery, no case of stent occlusion. Conclusion: Endoscopic biliary stent drainage is the preferred method to relieve the unresectable malignant biliary obstruction.