河北医学2017，Vol.23Issue(10)：1602-1605,4.DOI:10.3969/j.issn.1006-6233.2017.10.006
经肝穿刺与经十二指肠镜途径胆道支架置入治疗恶性胆道梗阻性黄疸的对照研究
Controlled Research of the Treatment of the Malignant Biliary Obstruction Jaundice by Percutaneous Transhepatic Route and the Duodenoscopic Approach Biliary Stent Placement
摘要
Abstract
Objective:To investigate the clinical efficacy of the treatment of malignant biliary obstruction jaundice by percutaneous transhepatic route and duodenoscopic approach biliary stent placement. Methods:110 patients with malignant biliary obstructive jaundice from December 2013 to March 2015 accepted in our hospital,were divided into experimental group and control group by the random number table method,55 ca-ses in each group. After admission to hospital,patients in the two groups before operation were given hepato-protective,diuretic and anti infection etc.,improve the patient's general condition. Patients in the experimen-tal group were treated by percutaneous transhepatic biliary stent implantation,and the control group were trea-ted by endoscopic biliary stent implantation. The levels of total bilirubin ( TB),direct bilirubin ( DB), indi-rect bilirubin ( IB ), the average survival period, complication rate and total efficiency of the treatment be-tween the two groups before and after treatment were observed and compared. after treatment. Results: After treatment,compared with before treatment,the TB,DB and IB levels were decreased,the difference was sta-tistically significant ( P < 0.05);Compared with the control group,TB,DB,IB levels were lower in patients of the experimental group than that in control group, the difference was statistical significance ( P < 0.05);Compared with the control group, postoperative average survival period was longer in patients of the experi-mental group than that in control group,the difference was statistical significance ( P <0.05);Compared with the control group,the incidence of complications in patients of the experimental group were lower,clinical ef-fective rate was higher,and the difference was statistically significant ( P < 0.05) . Conclusion: The clinical efficacy of the percutaneous transhepatic route in the treatment of malignant biliary obstruction is better than duodenoscopic approach biliary stent placement, more conducive to reduced levels of bilirubin, prolong the survival of patients,improve the treatment efficacy.关键词
经皮肝穿刺胆道支架置放术/经十二指肠镜胆道内支架置入术/恶性胆道梗阻性黄疸Key words
Percutaneous transhepatic biliary stenting/Duodenos copic approach biliary stenting/Malignant biliary obstruction jaundice引用本文复制引用
廖均平,梁日光,梁永任,欧光武,刘杰文..经肝穿刺与经十二指肠镜途径胆道支架置入治疗恶性胆道梗阻性黄疸的对照研究[J].河北医学,2017,23(10):1602-1605,4.基金项目
广东省茂名市科技计划项目,(编号:20150335) （编号:20150335）
