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内镜下支架植入与旁路手术治疗晚期恶性梗阻性黄疸的临床研究 被引量:4

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摘要 目的比较外科手术和内镜下支架植入对晚期恶性梗阻性黄疸的引流效果。方法回顾分析比较66例晚期恶性梗阻性黄疸患者的临床资料。结果两组患者中减黄的短期效果差异无统计学意义,但手术组的住院时间和近期并发症显著高于支架组;支架组由于支架堵塞引起胆道再次梗阻及胆管炎概率高于手术组。结论两种方法短期减黄效果相似,但支架组有较高的胆道再梗阻率。对手术风险小、预期寿命较长的患者,外科手术减黄是比较合理的选择。 Objective To compare the clinical outcomes between endoscopic stent insertion and bypass operation in treating the late malignant obstructive jaundice. Methods The clinical data for 66 patients treated with either endoscopic plastic stenting or surgical bypass were reviewed and analyzed. Result No significant difference was found between the two groups in terms of effectiveness. There was longer time of hospital stay and more early complications in the surgical group. However, late complications and jaundice recurred were significantly more common in the stenting group. Conclusion Both techniques are equally effective in biliary drainage, but stenting group has a higher rate of recurrent jaundice. Surgery is reasonable for patients with low surgical risks and long life expectancy.
出处 《浙江临床医学》 2009年第2期116-117,共2页 Zhejiang Clinical Medical Journal
关键词 内镜 支架植入 手术旁路 梗阻性黄疸 Endoscopy Stent implant Bypass operation Obstructive jaundice
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参考文献5

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二级参考文献9

  • 1侯森林,乔占英,康建省,吕海涛,李玉英,高永平.支架与手术引流对梗阻性黄疸患者免疫功能的影响[J].中华消化内镜杂志,2005,22(1):46-47. 被引量:29
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  • 9戴放,黄信华,陈勇,李彦豪,周杰,唐玉新.金属与塑料支架姑息性治疗恶性胆道梗阻疗效对比研究[J].放射学实践,2003,18(10):731-734. 被引量:5

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