摘要
对不能切除的肝门胆管癌，其梗阻性黄疸采用姑息性内引流治疗，以达到改善生命质量的目的。１９８５～１９９５年肝门胆管癌梗阻性黄疸用姑息性内引流减黄治疗２６例。用胆汁转流法，造成肝内胆管与胆囊间的内瘘，胆汁再经胆囊－空肠吻合口进入空肠。２１例（８０．７７％）减黄效果明显，胆红素接近正常水平，瘙痒症状消失。１例黄疸消退一半。２２例存活期２～３８个月（平均９．８个月）。４例死于严重并发症，病死率１５．３８％（４／２６）。认为肝门胆管癌梗阻性黄疸用姑息性转流术效果良好。方法简单，康复满意，可改善生命质量，值得推荐。
Patients with inoperable hilar cholangiocacinoma and obstructive jaundice under went palliative operation of internal drainage in order to improve the quality of life.Twenty six patients with hilar cholangiocacinoma and series present obstructive jaundice were treated from 1985 to 1995.We applied the palliative operation of internal drainage to relive jaumdice.A method for diversion of the bile,in which an internal fistula is created between the bile duct and gallbladder.A the anastomosis is made between the opering in the gallbladder and the jejunal loop.The jaundice relieved.The bilirubin level subsequently fell to a near normal level in 80 77%(21/26)and the pruritus disappeared.In only one patient,the bilirubin fell to about half the primany level.22 patients was survived for 2 to 38 months(average 9 8 months).4 patients died of severe complications,the mortality rate was 15 38%(4/26).Patients with hilar cholangiocarcinoma and obstructive jaundice are treated by palliative diversion of bile.With use of this operation the jaundice fell to near normal level.It was a simple method and recovery was satisfactory.The author recommead the use of this operation in order to improve the quality of life.
出处
《中国实用外科杂志》
CSCD
北大核心
1997年第5期279-280,共2页
Chinese Journal of Practical Surgery
关键词
胆管肿瘤
肝门胆管癌
姑息性
胆汁转流
palliative diversion,intrahepatic drainage,obstructive jaundice,life quality,hilar cholangiocarcinoma
