老年人梗阻性黄疸的病因诊断与治疗的探讨  

Diagnosis and treatment of senile obstructive jaundice

作　　者：才洪良 孟秋 孙秀芝[2] 任旭[2] 

机构地区：[1]哈尔滨市三院,150066 [2]黑龙江省医院消化科,150036

出　　处：《航空航天医药》2000年第4期205-207,共3页Aerospace Medicine

摘　　要：目的 :研究老年梗阻性黄疸的病因诊断及治疗问题。方法 :直接胆道造影及引流ERCP、PTC、ERBD、PTCD。结果 :老年梗阻性黄疸 ,胆石症最多 ,占 4 4 8% ,胰腺癌占 2 8 4 % ,胆管癌占17 9% ,其它病因 ,占 8 96%。治疗采用ERBD、PTCD生理性减黄、EST取石 ,结合手术治疗胆管癌 ,胰腺癌。结论 :老年梗阻性黄疸ERBD、PTCD治疗结果优于手术 ,术前ERBD、PTCD减黄引流是不可缺少的配合措施。OBJECTICE:To investigate the etiological diagnosis and treatment of senile obstructive jaundice. METHODS:Applying direct contrast examination of biliary tract and drainage. ERCP PTC. ERBD. PTCD. RESULTS:In all cases, senile obstructive jaundice and clole lithiasis were 44.8%, adenocarcinoma of pancreas was 28.4%, cancer of biliary duct was 17.9%, and the other diseases were 8.96%. Treatment of these diseases were applied by ERBD, decreasing jaundice by PTCD, extracting gallstones by EST, cancer of biliary duct and adenocarcinoma of pancreas were treated by operation at same time. CONCLUSION:ERBD and PTCD were more effective than operation in treating senile obstructive jaundice. Before operation, ERBD and PTCD drainage were not shortage.

关 键 词：梗阻性黄疸 诊断 治疗 病因 老年人 

分 类 号：R575[医药卫生—消化系统]