恶性梗阻性黄疸的外科姑息治疗进展

梁张; 李德卫

恶性梗阻性黄疸的外科姑息治疗进展

梁张,
李德卫

重庆医科大学附属第一医院肝胆外科

详细信息

中图分类号: R735
计量
- 文章访问数: 3265
- HTML全文浏览量: 25
- PDF下载量: 657
- 被引次数: 0
出版历程
- 出版日期: 2013-06-20

Progress in surgical palliative treatment for malignant obstructive jaundice

Department of Hepatobiliary Surgery, The First Affiliated Hospital of Chongqing Medical University

摘要

摘要:
梗阻性黄疸分为良性及恶性。恶性梗阻性黄疸由于起病隐匿,初诊时多已丧失根治术机会,因此外科姑息性治疗对于晚期恶性梗阻性黄疸患者尤为重要。本文就当前恶性梗阻性黄疸的各种外科姑息性治疗作一阐述。选择合适的外科姑息性治疗方式对晚期恶性梗阻性黄疸患者有重要意义。
- 黄疸,阻塞性 /
- 外科手术 /
- 姑息法
Abstract:
Obstructive jaundice, also known as surgical jaundice, is divided into benign and malignant types.Most of the patients newly diagnosed with malignant obstructive jaundice have lost the opportunity of receiving radical surgery due to its insidious onset, so surgical palliative treatment is very important for patients with advanced malignant obstructive jaundice.This paper elaborates on various current modalities of surgical palliative treatment for malignant obstructive jaundice.Appropriate modality of surgical palliative treatment is of great significance for patients with advanced malignant obstructive jaundice.
- jaundice /
- obstructive /
- surgical procedures

HTML全文

参考文献(27)

[1]Kordzaya DJ, Goderdzishvili VT.Bacterial translocation in obstruc-tive jaundice in rats:role of mucosal lacteals[J].Eur J Surg, 2000, 166 (5) :367-374.

[2]Tomioka M, linuma H, Okinaga K.lmparied Kupffer cell function andeffect of immunotherapy in obstructive jaundice[J].J Surg Res, 2000, 92 (2) :276-282.

[3]Liu HC.Surgical palliation of malignant obstructive jaundice[J].JHepatobiliary Surg, 2009, 17 (3) :166-168. (in Chinese) 刘会春.恶性梗阻性黄疸的姑息性减黄术[J].肝胆外科杂志, 2009, 17 (3) :166-168.

[4]Baron TH.Palliation of malignant obstructive jaundice[J].Gastrcent-erol Clin North Am, 2006, 35 (1) :101-112.

[5]Zou YH, Mao T, Jia QB.Influence of preoperative biliary drainage inimmune and inflammation of malignant obstructive jaundice patients[J].Chin Med Herald, 2011, 8 (8) :51-52. (in Chinese) 邹远航, 马涛, 贾乾斌.术前胆道引流对恶性阻塞性黄疸患者免疫、炎症状况的影响[J].中国医药导报, 2011, 8 (8) :51-52.

[6]Yuan DT, Wang ZF, Wang QZ, et al.Changes of the content of plas-ma endotoxin in patients with extrahepatic bile duct malignant obstruc-tion after drainage of different types[J].Chin J Gen Surg, 1998, 13 (4) :231-233. (in Chinese) 袁堆堂, 王子凡, 王庆兆, 等.肝外胆管恶性梗阻同引流术后血浆内毒素含量变化[J].中华普通外科杂志, 1998, 13 (4) :231-233.

[7]Liang LJ, Li SQ.Study of gallbladder and intestinal anastomosis[J].Chin J Pract Surg, 2004, 24 (1) :41-42. (in Chinese) 梁力建, 李绍强.关于胆肠吻合术一些问题的思考[J].中国实用外科杂志, 2004, 24 (1) :41-42.

[8]Luo J, Ma T.The surgical progress in treatment of malignant ob-structive jaundice[J].Int J Surg, 2011, 38 (5) :321-324. (inChinese) 罗捷, 马涛.恶性阻塞性黄疸的外科治疗进展[J].国际外科学杂志, 2011, 38 (5) :321-324.

[9]Sun JH, Shi WB, Zhang KW, et al.Short-term efficacy of surgi-cal palliation of obstructive jaundice:a comparative study[J].JHepatopancreatobiliary Surg, 1999, 11 (3) :141-142. (in Chi-nese) 孙建华, 施维锦, 张口文, 等.阻塞性黄疸姑息减黄手术的近期疗效比较[J].肝胆胰外科杂志, 1999, 11 (3) :141-142.

[10]Li ZS, Wang KX.Endoscopic treatment of malignant biliary ob-struction[J].J Hepatobiliary Surg, 2008, 16 (5) :326-327. (inChinese) 李兆申, 王凯旋.胆道恶性梗阻的内镜治疗[J].肝胆外科杂志, 2008, 16 (5) :326-327.

[11]Crespo S, Raimondo M.The long term use of covered metal stentsin managing malignant biliary obstruction:Are we changing out-comes?[J].Dig Liver Dis, 2010, 42 (11) :765-766.

[12]Pu LM, Li ZS.Progress in researches on clinical application of ER-CP[J].Chin J Hepatobiliary Surg, 2007, 13 (7) :493-495. (inChinese) 薄陆敏, 李兆申.ERCP临床应用研究进展[J].中华肝胆外科杂志, 2007, 13 (7) :493-495.

[13]Andersen JR, Sorensen SM, Kruse A, et al.Randomised trial ofendoscopic endoprosthesis versus operative bypass in malignant ob-structive jaundice[J].Gut, 1989, 30 (8) :1132-1135.

[14]Davids PH, Groen AK, Rauws EA, et al.Randomised trial of self-expanding metal stents versus polyethylene stents for distal malig-nant biliary obstruction[J].Lancet, 1992, 340 (8834-8835) :1488-1492.

[15]Kaassis M, Boyer J, DumasR, et al.Plastic or metal stents for ma-lignant stricture of the common bile duct?Results of a randomizedprospective study[J].Gastrointest Endosc, 2003, 57 (2) :178-182.

[16]Dai F, Huang XH, Chen Y, et al.Effects of metal versus plasticstent in the palliative treatment of malignant biliary obstruction[J].Radiologic Pract, 2003, 18 (10) :731-734. (in Chinese) 戴放, 黄信华, 陈勇, 等.金属与塑料支架姑息性治疗恶性胆道梗阻疗效对比研究[J].放射学实践, 2003, 18 (10) :731-734.

[17]Soderlund C, Linder S.Covered metal versus plastic stents for ma-lignant common bile duct stenosis:a prospective, randomized, con-trolled trial[J].Gastrointest Endosc, 2006, 63 (7) :986-995.

[18]Liu YY.Concept of micro-invasiveness and application of laparos-copy and other micro-invasive surgical procedures in hepatobiliary, pancreatic and splenic diseases[J].Chin J Hepatobiliary Surg, 2006, 12 (3) :149-150. (in Chinese) 刘允怡.微创的理念和腹腔镜及其它微创手术在肝胆胰脾的应用[J].中华肝胆外科杂志, 2006, 12 (3) :149-150.

[19]Chen ZL, Ren PT, Zhang KJ, et al.Clinical application of endo-scopic biliary stent insertion to treatment of malignant obstructivejaundice[J].Chin J Hepatobiliary Surg, 2010, 16 (11) :842-844. (in Chinese) 陈志良, 任培土, 张凯杰, 等.经内镜胆道支架置入术姑息性治疗恶性梗阻性黄疸的临床应用[J].中华肝胆外科杂志, 2010, 16 (11) :842-844.

[20]Xing GS, Geng JC, Han XW, et al.Endobiliary brush cytologyduring pereutaneous transhepatie eholangiodrainage in patients withobstmctive jaundiee[J].Hepatobiliary Panereat Dis Int, 2005, 4 (1) :98-103.

[21]Tsai YF, Shyu JF, Chen TH, et al.Effect of preoperative biliary drain-age on surgical outcome after pancreaticoduodenectomy[J].Hepatogas-troenterology, 2006, 53 (72) :823-827.

[22]Pisters PW, Hudec WA, Hess KR, et al.Effect of preoperative bil-iary decompression on pancreaticoduodenectomy-associated mor-bidity in 300 consecutive patients[J].Ann Surg, 2001, 234 (1) :47-55.

[23]Huang Q, Liu CH.On-going debate about preoperative palliationof malignant jaundice[J].J Hepatobiliary Surg, 2007, 15 (3) :164-166. (in Chinese) 黄强, 刘臣海.恶性黄疸术前减黄的争议[J].肝胆外科杂志, 2007, 15 (3) :164-166.

[24]Lu ZM, Guo QY, Liu ZY, et al.The result of percutaneous inter-ventional therapy for malignant biliary obstruction[J].Chin J MedImaging, 2003, 11 (2) :125-127. (in Chinese) 卢再鸣, 郭启勇, 刘兆玉, 等.胆管介入与TAIC治疗恶性梗阻性黄疸的疗效分析[J].中国医学影像学杂志, 2003, 11 (2) :125-127.

[25]Ru LX, Zhang HB, Xu JW, et al.Three-dimensional conformalradiotherapy combined with PTCD and PTBS for the treatment ofmalignant obstructive jaundice:a clinical analysis of 48 cases[J].JInterventronal Radiol, 2012, 21 (5) :395-398. (in Chinese) 茹利新, 张海兵, 许建伟, 等.经皮经肝胆管引流支架植入联合三维适形放射治疗恶性梗阻性黄疸48例分析[J].介入放射学杂志, 2012, 21 (5) :395-398.

[26]Dai CL, XuYQ.Preoperative bile drainage for hilar cholangiocarci-noma[J].J Clin Hepatol, 2012, 28 (7) :502-505. (in Chi-nese) 戴朝六, 许永庆.肝门胆管癌的术前减黄问题[J].临床肝胆病杂志, 2012, 28 (7) :502-505.

[27]Dai F, Huang XH, Chen Y, et al.Clinical effects of biliary stentand surgical bypass in palliative treatment of malignant obstructivejaundice:a comparative analysis[J].Chin J Hepatobiliary Surg, 2001, 7 (2) :100-102. (in Chinese) 戴放, 黄信华, 陈勇, 等.胆道支架与外科分流术姑息性治疗恶性梗阻性黄疸临床疗效对比分析[J].中华肝胆外科杂志, 2001, 7 (2) :100-102.

施引文献

资源附件(0)

访问统计