摘要
目的:分析用经皮肝穿刺胆道支架置入术(PTIBS)治疗恶性梗阻性黄疸的疗效。方法:将江苏省盐城市第一人民医院2016年5月至2019年5月接诊的50例恶性梗阻性黄疸患者作为研究对象。根据手术方法的不同对其进行分组,将其中接受经皮肝穿刺胆道引流术(PTCD)的25例患者作为对照组,将其中接受PTIBS的25例患者作为治疗组。然后对比两组患者的各项实验室检查指标和术后并发症的发生情况。结果:在术后5 d,治疗组患者血清AST的水平〔(42.16±2.62)U/L〕、血清ALT的水平〔(76.25±2.55)U/L〕、血清DBIL的水平〔(82.52±10.62)μmol/L〕、血清TBIL的水平〔(66.25±3.62)μmol/L〕均低于对照组患者血清AST的水平〔(82.06±3.33)U/L〕、血清ALT的水平〔(119.62±5.46)U/L〕、血清DBIL的水平〔(125.26±5.55)μmol/L〕、血清TBIL的水平〔(116.25±4.54)μmol/L〕,P<0.05。治疗组患者术后并发症的发生率(8%)低于对照组患者术后并发症的发生率(40%),P<0.05。结论:用PTIBS治疗恶性梗阻性黄疸可有效地改善患者的病情,且安全性较高。
Objective:To analyze the efficacy of percutaneous liver puncture biliary stent implantation(PTIBS)in the treatment of malignant obstructive jaundice.Methods:A total of 50 patients with malignant obstructive jaundice admitted to Yancheng First People’s Hospital of Jiangsu Province from May 2016 to May 2019 were studied.According to different surgical methods,25 patients who underwent percutaneous biliary drainage(PTCD)were selected as the control group,and 25 patients who underwent PTIBS were selected as the treatment group.Then the laboratory examination indexes and postoperative complications were compared between the two groups.Results:Five days after surgery,The levels of serum AST(42.16±2.62)U/L,serum ALT(76.25±2.55)U/L,serum DBIL(82.52±10.62)mol/L,serum TBIL(66.25±3.62)mol/L,serum TBIL(119.62±5.46)U/L,and serum DBIL(125.26±5.55)in the treatment group were all lower than those in the control group mol/L,serum TBIL(116.25±4.54)mol/L,P<0.05.The incidence of postoperative complications in the treatment group(8%)was lower than that in the control group(40%),P<0.05.Conclusion:The treatment of malignant obstructive jaundice with PTIBS can effectively improve the patient’s condition,and the safety is higher.
作者
钱长春
Qian Changchun(General Surgery department,Yancheng First People’s Hospital,Yancheng 224000,China)
关键词
经皮肝穿刺胆道支架置入术
恶性梗阻性黄疸
并发症
Percutaneous liver puncture biliary stent implantation
Malignant obstructive jaundice
complications
