摘要
目的研究术前减黄对65例行胰十二指肠切除术(PD)的低位胆道恶性梗阻性黄疸患者的影响。方法按术前是否经减黄处理将65例低位胆道恶性梗阻性黄疸患者分为减黄组与未减黄组,减黄组共35例,未减黄组共30例。减黄组患者经减黄处理后进行胰十二指肠切除手术,未减黄组患者在检查完毕后直接进行手术。结果减黄组TB水平组内比较、两组术前TB组间比较差异均有统计学意义(P<0.05),但两组患者入院时的TB比较无明显差异(P>0.05);两组患者的手术时间、出血量、血浆输注量及术后住院时间的组间对比无明显差异(P>0.05),但两组的RBC输注量组间比较差异有统计学意义(P<0.01);行胰十二指肠切除手术后,减黄组与未减黄组的并发症发生情况比较无显著性差异(P>0.05)。结论术前减黄能有效降低低位胆道恶性梗阻性黄疸患者的总胆红素水平,但是术前减黄并不能减少患者行PD手术后并发症的发生。
Objective To study the effect of preoperative biliary drainage （PBD） of pancreaticoduodenectomy in 65 patients with malignant obstructive jaundice of the lower bile duct. Methods 65 patients with malignant obstructive jaundice of the lower bile duct were divided into PBD group and non-PBD group according to preoperative biliary drainage or not, with 35 cases in PBD group and 30 cases in non-PBD group. Patients in PBD group were treated with PBD of pancreaticoduodenectomy, while patients in non-PBD group were treated with direct surgery after inspection. Results The preoperative TB levels intragroup and which between the two groups all had comparability and statically significant（P 〈 0.05）, but which on admission had non statically significant（P 〉0.05）. The operation time, blood loss, plasma transfusion, and postoperative hospital stay of patients between the two groups had non statically significant （P 〉 0.05）, while the RBC transfusion between the two groups had statically significant（P 〈 0.01）. The occurrence condition of complication after pancreaticoduodenectomy between the two groups had non statically significant （P 〉 0.05）. Conclusion PBD could effectively reduce the serum total bilirubin of patients with malignant obstructive jaundice of the lower bile duct, but couldn’t reduce the complication after pancreaticoduodenectomy.
出处
《中国医药科学》
2015年第10期142-144,共3页
China Medicine And Pharmacy
关键词
胰十二指肠切除术
梗阻性黄疸
术前减黄
Pancreaticoduodenectomy
Obstructive jaundice
Preoperative biliary drainage
