【摘要】 目的：探讨经皮经肝胆道支架置入术对不同梗阻部位恶性梗阻性黄疸的近期疗效。方法：回顾2010年9月-2014年9月山西医科大学第二医院介入科在DSA引导下行胆道支架置入治疗的72例恶性梗阻性黄疸患者。根据梗阻部位不同，将患者分为高位梗阻组(30例)和低位梗阻组(42例)，比较手术前后两组的总胆红素变化情况。结果：72例患者全部穿刺成功，穿刺成功率100%。两组术前术后总胆红素变化比较差异均有统计学意义(P<0.05)；低位梗阻组术后胆红素变化与高位梗阻组比较差异有统计学意义(P<0.001)。结论：胆道支架置入术是姑息性治疗恶性梗阻性黄疸的有效方法，低位恶性梗阻性黄疸胆道支架置入术后疗效较高位更满意。

    【关键词】 恶性梗阻性黄疸； 高低位梗阻； 胆道支架； 疗效

    【Abstract】 Objective：To study the short-term effects of percutaneous transhepatic cholangio-drainage combining with biliary stent in different obstruction areas of malignant obstructive jaundice. Method：72 patients with malignant obstructive jaundice who accepted DSA-guided biliary stent at the department of interventional radiology in the Second Hospital of Shanxi Medical University were selected and reviewed from September 2010 to September 2014.According to the different obstruction area ......