摘要
目的探讨恶性梗阻性黄疸术前减黄的价值。方法对2002年3月至2008年8月中国医科大学附属第一医院普通外科80例手术治疗的恶性梗阻性黄疸患者进行回顾性分析。比较减黄组与未减黄组术后并发症的发生情况,判断恶性梗阻性黄疸患者术前减黄的临床意义。结果80例恶性梗阻性黄疸的患者中56例(平均血胆红素167.3μmol/L)术前未行减黄,其中术后并发症的发生率为42.9%(24/56);24例(平均血胆红素323.7μmol/L)术前进行了减黄,术后并发症的发生率为66.7%(16/24)。减黄组与未减黄组术后并发症的发生率无统计学差异(P>0.05)。结论减黄组与未减黄组术后并发症的发生率无统计学差异可能是由于减黄组减黄后胆红素水平降至与未减黄组接近,因此降低了其手术并发症的发生率。我们主张对于血胆红素>170μmol/L,全身状态差,合并胆管炎的患者进行术前减黄。
Objective To study the value of preoperative biliary drainage on malignant obstructive jaundice patients.Methods Retrospective analysis on the 80 malignant obstructive jaundice patients of the First Hospital of China Medical University from March 2002 to August 2008 was performed.To proof that it is clinical necessary to draining on malignant obstructive jaundice patients,by comparing the complications of the diffrences between the preoperative biliary drainage and the non-preoperative biliary drainage.Results There are 56 nonpreoperative biliary drainage patients in all the 80 persons,whose average bilirubin is 167.3μmol/L,the incidence of complication is 42.9%（24/56）.There are 24 preoperative biliary drainage patients,whose average is 323.7 μmol/L,the incidence of complication is 66.7%（16/ 24）.There is not statistics difference between the preoperative biliary drainage and the non-preoperative biliary drainage（P〉 0.05）.Conclusion There is not statistics difference between the preoperative biliary drainage and the non-preoperative biliary drainage which may due to the average bilirubin is similar between them,so the incidence of complication was decreased.We suggest that the preoperative biliary drainage is suitable for the patients with bilirubin more than 170 μmol/L,bad general body state and cholangeitis.
出处
《中国医科大学学报》
CAS
CSCD
北大核心
2010年第4期308-310,共3页
Journal of China Medical University
关键词
梗阻性黄疸
术前减黄
并发症
obstructive jaundice
preoperative biliary drainage
complications
