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首页> 美国卫生研究院文献>Korean Journal of Radiology >A Newly Designed Y-shaped Covered Stent in the Palliative Treatment of Hepatic Hilar Malignant Obstruction: Case Report
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A Newly Designed Y-shaped Covered Stent in the Palliative Treatment of Hepatic Hilar Malignant Obstruction: Case Report

机译：一种新型设计的Y形覆膜支架在肝门部恶性梗阻的姑息治疗中的应用

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摘要

We report a case in an inoperable patient with the hilar malignant biliary obstruction treated palliatively by the use of a newly designed Y-shaped covered stent without interfering contra-lateral bile duct. We percutaneously inserted a newly designed Y-shaped covered stent into a biliary tree in an inoperable patient with Bismuth Type II cholangiocarcinoma. We checked tubograms, enhanced CT studies, and blood bilirubin levels before, one week after, and at every three month after the stenting, by observing closely the signs of clinical infection as well. The follow-up period was about 12 months. The placement of the Y-shaped covered stent was successful and resulted in adequate biliary drainage in the immediate post-procedural tubogram and in the follow-up abdominal CT. The serum bilirubin levels did not show elevation after the insertion of the Y-shaped covered stent.
机译：我们报告了一个无法手术的患者，该患者通过使用新设计的Y形覆盖支架在不干扰对侧胆管的情况下姑息治疗了肝门恶性胆道梗阻。我们在无法手术的Bismuth II型胆管癌患者中经皮插入了新设计的Y型覆膜支架，并将其插入胆道树。我们还通过仔细观察临床感染的迹象，检查了支架置入术前，术后一周和每三个月的肾小管造影照片，增强的CT研究以及血液胆红素水平。随访期约12个月。 Y形覆盖支架的放置成功，并在手术后立即进行的肾小管造影和后续腹部CT中导致了足够的胆汁引流。插入Y型覆膜支架后，血清胆红素水平未显示升高。

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