经皮右侧入路行双侧胆道引流术治疗恶性高位梗阻性黄疸

发布时间：2018-04-03 19:18

  本文选题：黄疸　切入点：梗阻性　出处：《中国介入影像与治疗学》2015年04期

【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,P0.001);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(P0.001)。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。
[Abstract]:Objective to investigate the interventional treatment of malignant high obstructive jaundice with right axillary median line puncture and left and right hepatic duct.Methods 79 patients with malignant high obstructive jaundice were treated with bilateral drainage of left and right hepatic ducts via the right axillary midline approach. Serum bilirubin levels and liver function indexes were measured before operation, 1 week after operation and 2 weeks after operation, and the decrease of serum bilirubin was analyzed.Improvement of liver function and postoperative complications.Results the successful rate of operation was 100 and there were no serious complications related to operation.鏈�鍓嶈。�

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