文档介绍：75例恶性梗阻性黄疸患者姑息性手术近期治疗分析
(作者:___________单位: ___________邮编: ___________)
【摘要】目的探讨恶性梗阻性黄疸姑息性二种手术方法的手术时间、术后恢复及并发症。方法回顾性分析75例恶性梗阻性黄疸患者临床资料。结果经胆囊床穿刺支架空肠内引流术手术时间短,胃、肠道功能恢复快(),副作用小(),退黄效果相仿。结论对一般情况较差、肿瘤靠近肝门部且分离胆总管、肝总管或左、右肝管困难者或手术耐受差的恶性梗阻性黄疸患者,选择经胆囊床穿刺支架空肠内引流术。
【关键词】梗阻性黄疸 Roux-Y吻合穿刺支架空肠内引流
【Abstract】 Objective pare the value of two kinds of operations in treating malignant obstructive jaundice. Methods A retrospective review was made on the data of 75 cases of malignant obstructive jaundice ,the operation duration 、postoperative recovery plications pared of two kinds of operation . Results Gallbladder puncturation and internal jejunal drainage through stent has less operation duration and faster recovery of gastrointestinal tract recovery (), less side effects (), yet the jaundice releasing effect was similar with Roux-Y anastomosis. Conclusions For those patients of malignant obstructive jaundice whose general state are poor and the tumors are close to the helium ,which makes it difficult to divide mon bile duct 、common hepatic duct or left or right hepatic duct as well as those whose tolerance for operation is poor , gallbladder puncturation and internal jejunal drainage through stent is a better choice .
【Key words】 Obstructive jaundice Roux-Y anastomosis Punturation Internal jejunal drainage through stent
1992至2006年12月本院共收治恶性梗阻性黄疸患者117例,其中采用二种姑息性手术治疗恶