实用医学杂志2013，Vol.29Issue(11)：1762-1764,3.DOI:10.3969/j.issn.1006-5725.2013.11.017
经皮经肝胆管引流术不同术式治疗恶性梗阻性黄疸临床疗效分析
Clinical efficacy of the treatment of malignant obstructive jaundice with percutaneous transhepatic cholangiography and biliary drainage (PTCD)
摘要
Abstract
Objective To compare the efficacy and complications of internal and external combined drainage PTCD and single external drainage for treating malignant obstructive jaundice. Methods Retrospective analysis 78 cases of malignant obstructive jaundice , and compare the serum total bilirubin, albumin and total number of white blood cells in two groups. Results Serum total bilirubin level in two groups decreased significantly after PTCD treatment. Serum bilirubin in combined drainage group decreased significantly than that in single external drainage group 3 days after PTCD. There are no significant changes in serum albumin in the two groups. After one month, the decreased white blood cells were improved, but most have not reached normal levels. There were statistically significant differences between the two groups. Conclusions The effect of early drop jaundice with internal and external combined drainage is better than that with single external drainage , but after 1 month , two guoups had same effect. Early infection post PTCD may be related with operation itself, and later infection may be associated with bile regurgitation.关键词
经皮经肝胆道引流术/恶性/梗阻性黄疸Key words
PTCD/ Malignant/ Obstructive jaundice引用本文复制引用
李鹏,向贤宏,蔡春芳,张静,黎建军..经皮经肝胆管引流术不同术式治疗恶性梗阻性黄疸临床疗效分析[J].实用医学杂志,2013,29(11):1762-1764,3.基金项目
国家自然科学基金项目(编号:81241132) （编号:81241132）
教育部博士学科点专项科研基金项目(编号:20120171120086) （编号:20120171120086）
