肝管内置支撑管引流在恶性胆道梗阻手术中应用及效果分析  

Application and effects of hepatic duct indewelling supporting tube drainage on malignant biliary obstruction surgery

作　　者：王晓明[1] 高进[2] 董薇[2] 

机构地区：[1]广州医学院第一附属医院肝胆外科,广东广州510120 [2]广州医学院第一附属医院乳腺外科,广东广州510120

出　　处：《岭南现代临床外科》2012年第3期173-175,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨内置硅胶支撑管引流胆汁在上段胆管癌晚期患者姑息性手术治疗的效果。方法回顾性分析我院2005年1月至2010年12月期间收治的65例上段胆管癌晚期患者的临床资料,按照手术方法分为3组:姑息性切除肿瘤+T管外引流组、切除肿瘤+胆道硅胶支撑管内引流组、单纯胆道硅胶支撑管组,分析3组术后的肝功能恢复水平、术后并发症情况、生存时间等。结果发现胆道放置硅胶支撑管组的患者较T管引流组术后肝功能的恢复快,胆管炎的发生率降低,术后生存时间均延长,预后明显改善。肿瘤姑息性切除+内置硅胶支撑管的患者与单纯胆道硅胶支撑管患者的生存期无显著性差异。结论姑息性治疗晚期上段胆管癌时,采取内置硅胶支撑管引流胆汁可提高手术成功率,减低手术并发症,有效改善预后。Objective To evaluate the efficacy of palliative resection for advanced hilar cholangiocareinoma, discussing the benefit of internal draining by internal supporter for patients with advanced hilar eholangiocareinoma. Methods A retrospective analysis was performed with the data of 65 patients with advanced hilar eholangiocareinoma from Jaunary 2005 to December 2010 who were defined by the surgical strategies analysis the survival rate and the recovery of hepatic function. Results In this study, we found the patients who received internal draining by internal supporter their postoperative liver function recover more quickly postoperative recovery than controls, also the incidence of cholangitis reduced and the survival prolonged obviously. But the survival in the patients who received internal draining by internal supporter has no apparent difference with the patients without resection. Conclusions Internal draining by internal supporter for patients with advanced hilar eholangiocareinoma can improve the survival and decrease complications.

关 键 词：肝门部胆管癌 姑息性切除 胆道梗阻 

分 类 号：R735.8[医药卫生—肿瘤]