摘要
目的 探讨对无法切除的肝门胆管癌患者行“桥式”内引流术的减黄效果和术式优点。方法 对 1990年 1月～2 0 0 0年 10月的 30例无法手术切除的肝门胆管癌患者行“桥式”内引流术 ,根据术中 B超 (IOU S)的扫查结果确定内引流术式 ,并在 IOU S引导下选择扩张的肝内胆管。结果 “桥式”内引流术后 7d总胆红素、转氨酶、谷胺酰转肽酶和碱性磷酸酶均明显下降 ,与术前比较有显著性差异 (P<0 .0 1)。近期减黄效果明显 ,疗效优良率为 93.33% (2 8/ 30 )。结论 “桥式”内引流术减黄效果可靠 ,疗效满意 ,操作简便 ,并发症少 。
Objective To discuss the effection of reducing jaundice with bridge form internal drainage operation and the advantage of the operation for hilar cholangiocarcinoma which is unresectable.Methods 30 cases with hilar cholangiocarcinoma which unable resection between January of 1990 and October of 2000,all of them were operative with bridge form internal drainage operation,determining operation system according to IOUS scanning outcome.IOUS was guided to select outspread intrahepatic bile ducts.Results TBIL,ALT,GGTP,AKP value in postoperative 7 days were significantly lower than that in preoperative(P<0.01).Janudice digression approximately team was satisfaction.In 93.33% cases the treatment was better.Conclusion The technique is safety and simple,jaundice degression is evident,complication is lower,it's an excellence method for hilar cholangiocarcinoma which unable resection.
出处
《肝胆外科杂志》
2001年第2期93-95,共3页
Journal of Hepatobiliary Surgery
关键词
肝门胆管癌
内引流术
治疗
外科手术
Hilar cholangiocarcinoma
Internal drainage operation
Surgical treatment
