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目的探讨内镜下塑管引流术在治疗恶性梗阻性黄疸中的作用。方法对76例恶性梗阻性黄疸患者行内镜下塑管引流术(ERBD,46例)或行经皮肝穿刺胆管引流术(PTCD,30例)两种方法的效果进行比较分析。结果两种方法的手术操作成功率和术后黄疸的下降程度均无统计学差异(P>0.05);而在并发症的发生率和住院时间方面,ERBD组显著低于PTCD组(均P<0.05)。结论内镜下塑管引流术和经皮肝穿刺胆管引流术都是治疗恶性梗阻性黄疸的有效方法,治疗效果相同,但内镜下塑管引流术并发症发生率低,患者的住院时间短,具有明显的优势。
Objective To investigate the role of endoscopic plastic drainage in the treatment of malignant obstructive jaundice. Methods 76 patients with malignant obstructive jaundice were treated by endoscopic plastic drainage (ERBD, 46 cases) or percutaneous transhepatic biliary drainage (PTCD, 30 cases). Results There was no significant difference between the two groups in the success rate of operation and the decline of postoperative jaundice (P> 0.05). However, the incidence of complications and hospital stay were significantly lower in ERBD group than in PTCD group (all P < 0.05). Conclusion Endoscopic plastic drainage and percutaneous transhepatic biliary drainage are effective methods for the treatment of malignant obstructive jaundice. The treatment effect is the same, but the incidence of complication of endoscopic plastic drainage is low, and the hospitalization time is short , With obvious advantages.