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目的:探讨肝门胆管癌患者放置胆道内支架术和经皮肝穿刺放置胆道内支架术两种不同姑息性治疗的临床效果。方法:将50例肝门胆管癌行姑息性治疗患者分为A、B两组各25例,A组行经内镜放置胆道内支架术,B组行经皮肝穿刺放置胆道内支架术。比较两组治疗效果。结果:两组治疗效果比较差异无统计学意义(P>0.05);B组胆道出血发生率较A组高(P<0.05),A组胆道感染发生率较B组高(P<0.05);两组Ⅰ型、Ⅱ型、Ⅲ型肝门胆管癌(HCC)治愈率比较差异无统计学意义(P>0.05),Ⅳ型HCC治愈率B组高于A组(P<0.05)。结论:两种姑息性治疗临床效果相近,明确病症类型,给予针对性治疗,可提高治愈率,促进康复。
Objective: To investigate the clinical effects of two different palliative treatments in patients with hilar cholangiocarcinoma undergoing biliary stenting and percutaneous transhepatic puncture for biliary stenting. Methods: Fifty patients with hilar cholangiocarcinoma undergoing palliative treatment were divided into two groups (A and B), 25 cases each. Group A received endoscopic biliary stenting and group B received percutaneous transhepatic biliary stenting. Compare the treatment effect of two groups. Results: There was no significant difference between the two groups (P> 0.05). The incidence of biliary tract hemorrhage in group B was higher than that in group A (P <0.05). The incidence of biliary tract infection in group A was higher than that in group B (P <0.05). There was no significant difference in the cure rates of type Ⅰ, type Ⅱ and type Ⅲ hilar cholangiocarcinoma between the two groups (P> 0.05). The cure rate of type Ⅳ HCC was higher in group B than in group A (P <0.05). Conclusion: The clinical effects of two kinds of palliative treatment are similar, the type of the disease is clear, and the targeted treatment can improve the cure rate and promote the rehabilitation.