PTCD与胆肠内引流术治疗恶性梗阻性黄疸的临床分析  

The Clinical analysis between PTCD and biliary-enteric drainage in the treatment of Malignant obstructive jaundice

作　　者：孙敏志[1] 徐阿曼[1] 袁笑[1] 阮怀军[1] 曹伟 SUN Min-zhi;XU A -man;YUAN Xiao(The 4th Hospital of Anhui Medical University, Hefei 230001, China)

机构地区：[1]安徽医科大学第四附属医院,合肥230001

出　　处：《肝胆外科杂志》2018年第3期191-194,共4页Journal of Hepatobiliary Surgery

摘　　要：目的探讨恶性梗阻性黄疸患者行经皮肝穿刺胆道引流术与姑息性胆肠内引流的疗效差异;方法回顾分析安徽医科大学第四附属医院2012年1月至2018年5月25例恶性梗阻性黄疸的临床资料,比较经皮经肝胆管引流(PTCD)途径与姑息性胆肠内引流两种方法的疗效差异。结果 14例患者采用经PTCD引流的患者。其中男性9例,女性6例,平均年龄(68.35±9.22)岁;胆肠内引流组11例,男性6例,女性5例,平均年龄(68.45±8.57)岁。PTCD组与手术组相比同样有效解除患者胆道梗阻,降低胆红素,改善肝功能,统计学上无明显差异(P>0.05);结论 PTCD途径胆道引流可有效解除胆道梗阻、改善全身状况,与胆肠内引流效果相当,特别对于高龄、身体状况差、无法耐受手术的恶性胆汁淤积性黄疸患者更具有优势,故PTCD胆道引流值得临床推广。Objective To investigate the difference between percutaneous transhepatic biliary drainage and biliary-enteric drainage in patients of Malignant obstructive jaundice. Methods The clinical data of 25 cases of Malignant obstructive jaundice in The four affiliated hospital of Anhui Medical University from January 2012 to May 2018 were analyzed retrospectively. Results 14 patients were treated with PTCD drainage. Among them, 9 cases, 6 women, average age （68.35±9. 22） age, There were 11 cases in the Bilimy-enteric drainage Group, male 6 cases, female 5 cases, average age （68.45 ± 57） years old. There were no significant difference in statistics between The PTCD group and Biliary-enteric drainage Group in relieving biliary obstruction, reducing bilirubin and improving liver function in patients （ P 〉 0. 05 ）. Conclusion PTCD could effectively relieve biliary obstruction, improve the whole body condition, and the effect of biliary drainage, especially for the elderly, poor physical condition, unable to tolerate the operation of Malignant obstructive jaundice patients. So, PTCD is worthy of clinical promotion.

关 键 词：恶性肿瘤 梗阻性黄疸 经皮经肝胆管引流 胆道引流 

分 类 号：R735.8[医药卫生—肿瘤]