中国医药科学Issue(10)：142-144,3.
术前减黄对65例行胰十二指肠切除术的低位胆道恶性梗阻性黄疸患者的影响
Effect of preoperative biliary drainage of pancreatoduodenectomy in 65 patients with malignant obstructive jaundice of the lower bile duct
温苑章 1宋越 1彭广福 1温治强 1张彩云 1曾华东 1李舒凡1
作者信息
- 1. 广东省梅州市人民医院肝胆外一科，广东梅州 514031
- 折叠
摘要
Abstract
Objective To study the effect of preoperative biliary drainage (PBD) of pancreaticoduodenectomy in 65 patients with malignant obstructive jaundice of the lower bile duct. Methods 65 patients with malignant obstructive jaundice of the lower bile duct were divided into PBD group and non-PBD group according to preoperative biliary drainage or not, with 35 cases in PBD group and 30 cases in non-PBD group. Patients in PBD group were treated with PBD of pancreaticoduodenectomy, while patients in non-PBD group were treated with direct surgery after inspection. Results The preoperative TB levels intragroup and which between the two groups all had comparability and statically significant(P < 0.05), but which on admission had non statically significant(P >0.05). The operation time, blood loss, plasma transfusion, and postoperative hospital stay of patients between the two groups had non statically significant (P > 0.05), while the RBC transfusion between the two groups had statically significant(P < 0.01). The occurrence condition of complication after pancreaticoduodenectomy between the two groups had non statically significant (P > 0.05). Conclusion PBD could effectively reduce the serum total bilirubin of patients with malignant obstructive jaundice of the lower bile duct, but couldn’t reduce the complication after pancreaticoduodenectomy.关键词
胰十二指肠切除术/梗阻性黄疸/术前减黄Key words
Pancreaticoduodenectomy/Obstructive jaundice/Preoperative biliary drainage分类
医药卫生引用本文复制引用
温苑章,宋越,彭广福,温治强,张彩云,曾华东,李舒凡..术前减黄对65例行胰十二指肠切除术的低位胆道恶性梗阻性黄疸患者的影响[J].中国医药科学,2015,(10):142-144,3.
