中德临床肿瘤学杂志(英文版)2004，Vol.3Issue(2)：117-121,5.
金属支架、内涵管置入术治疗恶性胆道梗阻的成本-效果分析(多中心研究)
The Cost-effectiveness Analysis of Percutaneous Transhepatic Metal Versus Plastic Biliary Stent Implantation for Treating Malignant Biliary Obstruction (Multiple Center Investigation)
郭元星 1李彦豪 1陈勇 1陈平雁 1罗鹏飞 1李勇 1单鸿 1姜在波1
作者信息
- 1. 广州第一军医大学附属南方医院介入治疗科,510515
- 折叠
摘要
Abstract
Objective: To compare metal versus plastic biliary stent implantation for treatment of malignant biliary obstruction in cost-effectiveness ratio (CER). Methods: Percutaneous transhepatic self-expandable metal stent (MS, n=61) or 10F plastic stent (PS, n=34) implantation was performed in 95 patients with malignant biliary obstruction in three hospitals of Guangdong province. All patients were followed up until death or at least one year after the procedure. Kaplan-Meier analysis was used to compare the survival and stent patency rates of the patients in the two groups. CERs of two groups were calculated.The main indexes were CERsurvival period (total cost/median survival period), CERpatency period (total cost/median patency period). Results: The total costs of treatment were 53177±3139 yuan (RMB) in MS group and 42564±4950 yuan (RMB) in PS group respectively (P＞0.05). CER in MS group was superior to that in PS group (CERsurvival period was 237.4 yuan/d vs 452.6 yuan/d, respectively; CERpatency period was 231.2 yuan/d vs 472.9 yuan/d, respectively). Conclusion: The metal stent implantation is superior to the plastic stent in the CER for treatment of malignant biliary obstruction.关键词
放射学,介入性/内支架/胆管阻塞/成本-效果分析Key words
radiology, interventional/stent/biliary obstruction/cost-effectiveness analysis分类
医药卫生引用本文复制引用
郭元星,李彦豪,陈勇,陈平雁,罗鹏飞,李勇,单鸿,姜在波..金属支架、内涵管置入术治疗恶性胆道梗阻的成本-效果分析(多中心研究)[J].中德临床肿瘤学杂志(英文版),2004,3(2):117-121,5.
