晚期高位胆道恶性梗阻性黄疸ERCP、PTCD和手术治疗的对比性研究

摘要

目的：探讨晚期高位胆道恶性梗阻性黄疸各种姑息减黄法的优劣，为临床推广作指导。方法选取86例山东省烟台毓璜顶医院收治的晚期高位恶性梗阻性黄疸患者，按治疗方式随机分为姑息性手术组、ERCP组和PTCD组，对比三组患者的术前术后治疗效果，同时对各组间的治疗效果进行比较。结果三组患者治疗后各项指标明显优于治疗前，差异具有统计学意义(P＜0.05)。PTCD治疗效果好于ERCP，治疗效果可靠。结论晚期高位胆道恶性梗阻性患者，各引流措施均可有效缓解梗阻，但PTCD操作方便，安全性好，具有更好的经济效益。%Objective To investigate the advantages and disadvantages of various palliative treatm ent m ethods for biliary drainage of late m alignant biliary obstructive jaundice so as to provide guidance for clinical expansion .Methods 86 sufferers w ith late m alignant biliary obstructive jaundice adm itted into Y uhuangding hospital of Y antai,Shandong provincewererandomlydividedintopalliativesurgerygroup,ERCP group and PTCD group,andtheclinicaleffectsof the three groups before and after the treatm ent w ere com pared .Results A fter the treatm ent,each index of the three groups w as clearly better than that before the treatm ent and the differences w ere of statistical significance (P<0 .05 ). ThetherapeuticeffectinthePTCD groupwasbetterthantheERCPgroup.Conclusion Forpatientswithlatemalig-nantbiliary obstructive jaundice,alldrainage m ethods can effectively alleviate the obstruction,butPTCD has easy oper-ation,good security,and better econom ic benefit.