海南医学院学报2016，Vol.22Issue(15)：1673-1676,4.DOI:10.13210/j.cnki.jhmu.20160302.008
恶性梗阻性黄疸经超声引导经皮肝穿刺胆道引流治疗的安全性及疗效分析
Safety and efficacy of ultrasound-guided percutaneous transhepatic bil iary drainage treat-ment of mal ignant obstructive jaundice
摘要
Abstract
Objective:To study the clinical effect and prognosis of percutaneous transhepatic biliary drainage (PTBD) treatment of patients with malignant obstructive jaundice.Methods:A total of 1 12 patients with malignant obstructive jaundice treated in our hospital from April 2009 to February 2014 were retrospectively analyzed.All patients were randomly divided into control group (42 cases)and observation group (70 cases),control group received drainage of laparotomy and observation group received PTBD intervention.All patients were followed up for 3 to 23 months.Clinical effect,complication and length of stay were observed and counted after two groups received different treatment,and the results were compared and analyzed.Re-sults:After two groups received different treatment,serum AIL,AST,TBIL and DBIL levels significantly decreased than be-fore treatment,but serum AIL,AST,TBIL and DBIL levels of observation group were lower than those of control group (P<0.05).The levels of WBC and NE of both groups were lower than before treatment (P <0.05),but differences in WBC,NE and PT between the two groups were not statistical significant after treatment (P >0.05).Meanwhile,the incidence of adverse reaction and length of stay of observation group were lower than those of control group (P<0.05).Conclusions:Interventional treatment of malignant obstructive jaundice can effectively improve the clinical symptoms,reduce incidence of adverse reactions and shorten the length of stay,which is the preferred method for medically inoperable malignant obstructive jaundice and worth clinical popularization.关键词
恶性梗阻性黄疸/经皮肝穿刺胆道引流术/超声引导Key words
Malignant obstructive jaundice/PTBD/Ultrasound-guided分类
医药卫生引用本文复制引用
叶本功,刘毅,张榕培..恶性梗阻性黄疸经超声引导经皮肝穿刺胆道引流治疗的安全性及疗效分析[J].海南医学院学报,2016,22(15):1673-1676,4.基金项目
陕西省科学技术厅项目(9612013Y0286) （9612013Y0286）
