摘要
目的 探究经皮肝穿刺胆管引流(percutaneous transhepatic cholangial drainage,PTCD)和胆道支架植入(percutaneous biliary drainage and stenting,PTBD)在恶性梗阻性黄疸(malignant obstructive jaundice,MOJ)中的早期疗效。方法 回顾性分析某医院接受治疗的64名MOJ患者,评价和比较PTCD及PTBD对MOJ患者的早期疗效。结果 术前两组患者年龄,体重,性别构成,肿瘤类型,腹水,肝child分级及肝功,凝血等相关指标均无显著的统计学差异。术后相关指标分析,PTBD组总胆红素下降快,肝功能恢复快(P<0.005)。结论 法根治性手术MOJ的患者建议行PTBD术治疗。
Objective To investigate the early effect of percutaneous transhepatic cholangial drainage(PTCD) and stent implantation(PTBD) in malignant obstructive jaundice(MOJ).Methods Make a retrospective analysis of 64 patients with malignant obstructive jaundice treated in our Hospital,To evaluate and compare the early curative effects of PTCD and PTBD on patients with malignant obstructive jaundice.Results Before the operation,there was no significant difference in age,weight,sex composition,tumor type,ascites,child grade of liver,liver function,coagulation and other related indexes between the two groups,Compared with PTCD group,the total bilirubin decreased rapidly and liver function recovered rapidly in PTBD group(P<0.005).Conclusion 1.Patients with MOJ who can’t undergo radical operation are recommended to perform PTBD operation.2.PTCD and PTBD are one of the main treatment methods for MOJ,have wide popularization significance in primary hospitals.
作者
买买提·瓦司力
高旭升
司俊杰
徐峰
Maimaiti Wasili;GAO Xusheng;SI Junjie;XU Feng(The People's Hospital of Changji Hui Autonomous Prefecture,Changji,831100,Xinjiang,China)
出处
《新疆医学》
2022年第7期770-772,809,共4页
Xinjiang Medical Journal
基金
昌吉州人民医院院级科研项目(项目编号:zyy2020zd-01)
