两种胆道引流术治疗肝门部胆管癌所致黄疸的效果观察-论文.pdf

《两种胆道引流术治疗肝门部胆管癌所致黄疸的效果观察-论文.pdf》由会员上传分享，免费在线阅读，更多相关内容在应用文档-天天文库。

1、中国当代医药2014年6月第21卷第17期·临床研究·两种胆道引流术治疗肝门部胆管癌所致黄疸的效果观察廖均平黄燕金梁目光梁永任欧光武刘杰文广东省高州市人民医院肝胆外科，广东高州525200[摘要】目的探讨两种胆道引流术治疗肝门部胆管癌所致黄疸的效果。方法选取2010年12月～2012年12月来本院就诊的肝门部胆管癌89例患者，按胆道引流方法的不同分为经内镜鼻胆管引流术(ENBD)组45例及经皮经肝穿刺胆管引流术(PTCD)组44例，对两组患者的引流成功率、肝功能相关指标、胆汁引流量及并发症发生率进行比较。结果ENBD组的引流成

2、功率为73．33％，明显低于PTCD组的90．91％，两组比较差异有统计学意义(P<0．05)。两组引流前后肝功能相关指标比较差异有统计学意义(PO．05)。ENBD组并发症发生率为17．78％，PTCD组并发症发生率为29．54％，两组比较差异有统计学意义(P<0．05)。结论两种胆管引流术均可有效缓解肝门部胆管癌引起的黄疸，改善肝功能；PTCD为Ⅳ型肝门部胆管癌首选治疗方法，但PTCD后胆道出血发生率较高

3、。[关键词1两种胆道引流术；肝门部胆管癌；黄疸【中图分类号】R735．8【文献标识码】A【文章编号】1674-4721(2014)06(b)-0049—03EffectobservationoftwokindsofbiliarydrainageinthetreatmentofjaundicecausedbyhilarcholangiocarcinomaL／A0Jun-pingHUANGY~t-jinLIANGRi-guangLIANGYong-renOUGuang-wuLIU~e-wenDepartmentofHepatobi

4、liarySurgery，PeopleSHospitalofGaozhouCityinGuangdongProvince，Gaozhou525200，China[Abstract]ObjectiveToexplorethecurativeeffectoftwokindsofbiliarydrainageinthetreatmentofjaundicecausedbyhilarcholangiocarcinoma，Methods89casesofpatientswithhilarcholangiocarcinomafromDec

5、ember2010toDe—cember2012inourhospitalwereselected．Accordingthedifferentbiliarydrainagemethod，allpatientsweredividedintoendoscopicnasobiliarydrainage(ENBD)group(45cases)andpercutaneoustranshepaticcholangiodrainage(PTCD)group(44eases)．DrainageSUCCESSrate，relatedindica

6、torofliverfunction，biledrainageandtheincidencerateofcomplicationintwogroupswascomparedrespectively．ResultsThedrainageSuccessrateofENBDgroupwas73．33％，significantlylowerthanthatofPTCDgroup(90．91％)，withastatisticaldifference(P<0．05)．Therelatedindicatorofliverfunctionbe

7、—foreandafterdrainageintwogroupswascomparedrespectively，withstatisticaldifference(P<0．05)．Therelatedindicatorofliverfunctionafterdrainageintwogroupswascomparedrespectively，withstatisticaldifference(P<0．05)．Biledrainageintwogroupswascompared，withnostatisticaldifferen

8、ce(尸0．05)．TheincidencerateinENBDgroupwas17．78％，inci—dencerateofPTCDgroupwas29．54％，withstatisticaldifference<0．05)．ConclusionTwokindsofbili