摘要
目的探讨经右腋中线分别穿刺左右肝管治疗恶性高位梗阻性黄疸的介入治疗方法及疗效。方法我院79例恶性高位梗阻性黄疸患者采用经右侧腋中线入路左右肝管双侧引流,术前、术后1周及术后2周分别测定血清胆红素水平及肝功能指标,分析血清胆红素下降、肝功能改善情况及术后并发症。结果本组手术成功率为100%,术后未出现与手术操作有关的严重并发症。术前血清胆红素含量为(385.05±115.97)μmol/L,术后1周为(241.23±99.69)μmol/L,术后2周为(154.82±75.88)μmol/L,差异有统计学意义(F=122.168,P<0.001);术后肝功能指标均下降明显,与术前相比差异有统计学意义(P<0.001)。结论经右侧腋中线穿刺行左右肝管双侧引流治疗恶性高位梗阻性黄疸是安全可行、近期疗效满意的治疗方法。
Objective To evaluate the efficiency and treatment of bilateral-hepatic duct drainage in malignant hilar biliary obstructive jaundice through the right axillary midline approach. Methods Totally 79 patients with hilar biliary obstructive jaundice underwent bilateral-hepatic duct drainage through the right axillary midline approach. Serum bilirubin level and liver function index were detected respectively in the preoperative and postoperative one week and two weeks. Serum bilirubin fell, improving liver function and postoperative complications were analyzed. Results All procedures were successful without serious complications. Preoperative serum level total bilirubin was （385.05±115.97）μmol/L, and serum level total bilirubin were（241.23±99.69）μmol/L postoperative one week, （154.82±75.88）μmol/L postoperative two week （F=122.168, P〈0.001）. Postoperative liver function index decreased significantly, and difference had statistically significant compared with the preoperative liver function index （P〈0.001）. Conclusion Bilateral-hepatic duct drainage in malignant hilar biliary obstructive jaundice through the right axillary midline approach is a safe and feasible method, and the recent curative effect satisfaction.
出处
《中国介入影像与治疗学》
CSCD
北大核心
2015年第4期206-209,共4页
Chinese Journal of Interventional Imaging and Therapy
基金
山西省卫生厅科研课题(201201065)
关键词
黄疸
梗阻性
放射学
介入性
Jaundice, obstructive
Radiography, interventional
