内镜下塑管引流术在恶性梗阻性黄疸治疗中的临床观察
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赵新平 E-mail: zhaopenshen@163.com

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Clinical observation of endoscopic retrograde biliary drainage in management of malignant obstructive jaundice
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    摘要:

    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。

    Abstract:

    Objective:To evaluate the efficacy of endoscopic retrograde biliary drainage (ERBD) in management of malignant obstructive jaundice.
    Methods: The outcomes of 76 patients with malignant obstructive jaundice undergoing ERBD (n=46) or percutaneous transhepatic cholangial drainage (PTCD, n=30) were compared and analyzed.
    Results:No differences were noted between the two procedures in the operation success rate and degree of postoperative jaundice decline (P>0.05). However, the incidence of complications and length of hospital stay of ERBD group were significantly lower than those of PTCD group (both P<0.05).
    Conclusions:Either ERBD or PTCD is an effective approach to treat malignant obstructive jaundice. However, ERBD has the advantages of relatively lower complication rate and shorter hospital stay.

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赵新平| 董山潮.内镜下塑管引流术在恶性梗阻性黄疸治疗中的临床观察[J].中国普通外科杂志,2011,20(8):848-850.
DOI:10.7659/j. issn.1005-6947.2011.08.027

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  • 收稿日期:2011-06-24
  • 最后修改日期:2011-08-10
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