CAJ | 학술논문

216例恶性阻塞性黄疸患者手术疗效的因素分析
216례악성조새성황달환자수술료효적인소분석
Prognostic factors of clinical ctrative effect for malignant obstructive jaundice

万方数据

中华外科杂志中華外科雜誌 중화외과잡지
CHINESE JOURNAL OF SURGERY
2000年 10期 771-774 ,共4页

邹声泉%秦仁义%王剑明%杨传永%易继林%钱家勤%刘飞龙%覃修福%戴植本%裘法祖

추성천%진인의%왕검명%양전영%역계림%전가근%류비룡%담수복%대식본%구법조

胆管阻塞,肝外%治疗结果%因素分析,统计学膽管阻塞,肝外%治療結果%因素分析,統計學
담관조새,간외%치료결과%인소분석,통계학
Bile duct obstructive,extrahepatic%Treatment outcome%Factor analysis,statistical

目的探讨影响恶性阻塞性黄疸临床治疗的预后因素。方法对1990年1月～1997年l2月216例恶性阻塞性黄疸手术患者的17种临床观察指标进行分析。结果 173例(80．1％)手术后1个月存活，发生并发症81例，发生率37．5％。根治术者胆管炎、胆瘘、出血、肾功能衰竭等并发症均高于姑息术者，差异均有显著性(P<0．01)；1月生存率和术后并发症发生率与ASA分级、黄疸持续的时间等有明显关系(P<0．01)；1月生存率与手术类型、黄疸原因无明显关系(P>0．05)；并发症的发生率与手术类型有明显关系(P<0．01)。结论恶性阻塞性黄疸患者的手术治疗有机会应尽量行根治性手术，早期诊断与治疗是提高疗效的重要环节。
목적탐토영향악성조새성황달림상치료적예후인소。방법대1990년1월～1997년l2월216례악성조새성황달수술환자적17충림상관찰지표진행분석。결과 173례(80．1％)수술후1개월존활，발생병발증81례，발생솔37．5％。근치술자담관염、담루、출혈、신공능쇠갈등병발증균고우고식술자，차이균유현저성(P<0．01)；1월생존솔화술후병발증발생솔여ASA분급、황달지속적시간등유명현관계(P<0．01)；1월생존솔여수술류형、황달원인무명현관계(P>0．05)；병발증적발생솔여수술류형유명현관계(P<0．01)。결론악성조새성황달환자적수술치료유궤회응진량행근치성수술，조기진단여치료시제고료효적중요배절。
Objective To explore prognostic factors for clinical treatment of patients with malignant obstructive jaundice． Methods 17 variables from 216 consecutive patients with malignant obstructive jaundice admitted from 1990 to 1997 were included for statistical analysis． Results The overall mortality was 19．9% (43/216), and the morbidity 37．5% (81/216)． The morbidity of radical operation was higher than that of palliative operation( P < 0．01 )． There was a highly significant correlation between mortality, morbidity , ASA grade and duration of jaundice ( P < 0．01 )． No correlation was seen between the mortality, type of operation and cause of jaundice． There was a highly significant correlation between the morbidity and the type of operation． Conclusiond The choice of operation in patients with malignant obstructive jaundice is radical operation． Early diagnosis and choice of treatment are essential to improving carative effect．