中国疗养医学
中國療養醫學
중국요양의학
Chinese Journal of Convalescent Medicine
2015年
10期
1059-1063
,共5页
孙孚波%唐锟%隋璐璐%徐刚%刘小方
孫孚波%唐錕%隋璐璐%徐剛%劉小方
손부파%당곤%수로로%서강%류소방
高位恶性梗阻性黄疸%姑息手术%ERCP%PTCD
高位噁性梗阻性黃疸%姑息手術%ERCP%PTCD
고위악성경조성황달%고식수술%ERCP%PTCD
High biliary malignant obstructive jaundice%Palliative surgery%ERCP%PTCD
目的:探讨晚期高位胆道恶性梗阻性黄疸各种姑息减黄法的优劣,为临床推广作指导。方法选取86例山东省烟台毓璜顶医院收治的晚期高位恶性梗阻性黄疸患者,按治疗方式随机分为姑息性手术组、ERCP组和PTCD组,对比三组患者的术前术后治疗效果,同时对各组间的治疗效果进行比较。结果三组患者治疗后各项指标明显优于治疗前,差异具有统计学意义(P<0.05)。PTCD治疗效果好于ERCP,治疗效果可靠。结论晚期高位胆道恶性梗阻性患者,各引流措施均可有效缓解梗阻,但PTCD操作方便,安全性好,具有更好的经济效益。
目的:探討晚期高位膽道噁性梗阻性黃疸各種姑息減黃法的優劣,為臨床推廣作指導。方法選取86例山東省煙檯毓璜頂醫院收治的晚期高位噁性梗阻性黃疸患者,按治療方式隨機分為姑息性手術組、ERCP組和PTCD組,對比三組患者的術前術後治療效果,同時對各組間的治療效果進行比較。結果三組患者治療後各項指標明顯優于治療前,差異具有統計學意義(P<0.05)。PTCD治療效果好于ERCP,治療效果可靠。結論晚期高位膽道噁性梗阻性患者,各引流措施均可有效緩解梗阻,但PTCD操作方便,安全性好,具有更好的經濟效益。
목적:탐토만기고위담도악성경조성황달각충고식감황법적우렬,위림상추엄작지도。방법선취86례산동성연태육황정의원수치적만기고위악성경조성황달환자,안치료방식수궤분위고식성수술조、ERCP조화PTCD조,대비삼조환자적술전술후치료효과,동시대각조간적치료효과진행비교。결과삼조환자치료후각항지표명현우우치료전,차이구유통계학의의(P<0.05)。PTCD치료효과호우ERCP,치료효과가고。결론만기고위담도악성경조성환자,각인류조시균가유효완해경조,단PTCD조작방편,안전성호,구유경호적경제효익。
Objective To investigate the advantages and disadvantages of various palliative treatm ent m ethods for biliary drainage of late m alignant biliary obstructive jaundice so as to provide guidance for clinical expansion .Methods 86 sufferers w ith late m alignant biliary obstructive jaundice adm itted into Y uhuangding hospital of Y antai,Shandong provincewererandomlydividedintopalliativesurgerygroup,ERCP group and PTCD group,andtheclinicaleffectsof the three groups before and after the treatm ent w ere com pared .Results A fter the treatm ent,each index of the three groups w as clearly better than that before the treatm ent and the differences w ere of statistical significance (P<0 .05 ). ThetherapeuticeffectinthePTCD groupwasbetterthantheERCPgroup.Conclusion Forpatientswithlatemalig-nantbiliary obstructive jaundice,alldrainage m ethods can effectively alleviate the obstruction,butPTCD has easy oper-ation,good security,and better econom ic benefit.