肝门部胆管癌致梗阻性黄疸介入引流治疗效果评价.doc

肝门部胆管癌致梗阻性黄疸介入引流治疗效果评价 宋景国陈燕曹磊 日照市东港区人民医院放射科，山东日照276800 摘要目的对肝门部胆管癌致梗阻性黄疸介入引流治疗的效果进行探讨与分析。方法从我院xx年10月xx年10月期间收治的肝门部胆管癌致梗阻性黄疸患者中抽取68例进行回顾性分析，所有患者均实施经皮介入引流术+胆道支架置入术治疗，对患者术后1个月当中肝功能化验指标进行统计，并对比术前肝功能指标。结果手术前后相比，所有患者TBIL（血清总胆红素）降低30%以上，总有效率达到了94.1%（64/68），黄疸消除率达到了86.8%（59/68）。在TBIL、ALT（谷丙转氨酶）、SGOT（谷草转氨酶）等肝功能指标上，术后要显著低于术前（P0.05）。结论对于肝门部胆管癌致梗阻性黄疸患者来说，实施经皮介入引流术+胆道支架置入术治疗能起到较好效果，使黄疸得到减轻，肝功能得到明显改善，有着重要临床使用价值。 关键词胆管癌；肝门部梗阻；黄疸；介入引流；治疗效果 R735A1672-5654（xx）06（b）-0021-02 Hilarcholangiocarcinomawithobstructivejaundicetreatmenteffectevaluationofinterventionaldrainage SONGJingguoCHENYanCAOLei DepartmentOfRadiology,ThePeoplesHospitalofDonggangRegion,Rizhao276800,China AbstractObjectiveOfhilarcholangiocarcinomawithobstructivejaundicecausedbyinterventionaldrainagetreatmenteffectwerediscussedandanalyzed.MethodsAretrospectiveanalysiswasconductedfromxxOctobertoxxinourhospitalduringOctoberwerecausedbyextractionofhilarbileductcarcinomainpatientswithobstructivejaundicein68patients,allpatientsunderwentpercutaneousdrainageandbiliarystentimplantationinthetreatmentofpatientsintheoperation,after1monthstestindicatorsofliverfunctionofstatistics,andparetheliverfunctionbeforeoperation.ResultsAftertreatment,paredwithbeforeoperation,allpatientswithTBIL(serumtotalbilirubin)decreasedbymorethan30%,thetotaleffectiveratewas94.1%(64/68),jaundiceandtheremovalratereached86.8%(59/68).InTBIL,ALT(alanineaminotransferase),SGOT(AST)andotherindexesofliverfunc