中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
27期
29-30
,共2页
胰头癌%胆胰管双支架%并发症%临床疗效
胰頭癌%膽胰管雙支架%併髮癥%臨床療效
이두암%담이관쌍지가%병발증%림상료효
Carcinoma of head of pancreas%Pancreatic bile duct stenting%Complication%Clinical effect
目的：观察分析胆胰管双支架治疗胰头癌的临床效果，总结临床经验。方法胰头癌患者112例，将其按照数字表随机抽样的方法分为实验组和对照组，每组56例，实验组的患者采用胆胰管双支架的方法进行治疗，对照组的患者则仅仅在胆管内放置支架进行治疗，对比两组患者的临床疗效。结果经过治疗后实验组的患者疼痛情况明显好于对照组，其差异具有统计学意义(P<0.05)。两组患者的血清总胆红素的含量明显降低，但实验组患者下降程度高于对照组，其差异具有统计学意义(P<0.05)。肝功能恢复情况也明显好于对照组，其差异具有统计学意义(P<0.05)。结论胆胰管双支架治疗胰头癌的疗效显著，可以有效控制病情，减轻并发症的发生，是值得临床上进行推广和使用的有效方法。
目的：觀察分析膽胰管雙支架治療胰頭癌的臨床效果，總結臨床經驗。方法胰頭癌患者112例，將其按照數字錶隨機抽樣的方法分為實驗組和對照組，每組56例，實驗組的患者採用膽胰管雙支架的方法進行治療，對照組的患者則僅僅在膽管內放置支架進行治療，對比兩組患者的臨床療效。結果經過治療後實驗組的患者疼痛情況明顯好于對照組，其差異具有統計學意義(P<0.05)。兩組患者的血清總膽紅素的含量明顯降低，但實驗組患者下降程度高于對照組，其差異具有統計學意義(P<0.05)。肝功能恢複情況也明顯好于對照組，其差異具有統計學意義(P<0.05)。結論膽胰管雙支架治療胰頭癌的療效顯著，可以有效控製病情，減輕併髮癥的髮生，是值得臨床上進行推廣和使用的有效方法。
목적：관찰분석담이관쌍지가치료이두암적림상효과，총결림상경험。방법이두암환자112례，장기안조수자표수궤추양적방법분위실험조화대조조，매조56례，실험조적환자채용담이관쌍지가적방법진행치료，대조조적환자칙부부재담관내방치지가진행치료，대비량조환자적림상료효。결과경과치료후실험조적환자동통정황명현호우대조조，기차이구유통계학의의(P<0.05)。량조환자적혈청총담홍소적함량명현강저，단실험조환자하강정도고우대조조，기차이구유통계학의의(P<0.05)。간공능회복정황야명현호우대조조，기차이구유통계학의의(P<0.05)。결론담이관쌍지가치료이두암적료효현저，가이유효공제병정，감경병발증적발생，시치득림상상진행추엄화사용적유효방법。
Objective To observe and analyze the clinical effect of pancreatic bile duct stenting in the treatment of carcinoma of head of pancreas, and to summarize the clinical experience. Methods According to the method of digital table random selection, 112 patients with carcinoma of head of pancreas were divided into experimental group and control group, 56 cases in each group. The experimental group was treated with pancreatic bile duct stenting, and the control group was only treated by stent in the,bile duct. The clinical efficacies of the two groups were compared. Results After treatment, the pain of patients in the experimental group was significantly less than the control group, and the difference was statistically significant (P<0.05). The content of serum total bilirubin reduced in both groups, while its degree decline in the experimental group was higher than that of the control group. The difference was statistically significant (P<0.05). The recovery of liver function in the experimental group was also better than that of the control group, and the difference has statistical significance (P<0.05). Conclusion The curative efficacy of pancreatic bile duct stenting treatment of carcinoma of head of pancreas is significant, and the treatment can effectively control the occurrence of disease, reduce complications. It is an effective method, which is worthy of clinical promotion and application.
