Comparison of the clinical effect of three types of drainage for treating malignant obstructive jaundice

VernacularTitle:三种引流术治疗恶性梗阻性黄疸的临床疗效比较
Author: Zhou WANG
Publication Type:Journal Article
Keywords: Jaundice,obstructive; Drainage
From: Chinese Journal of Primary Medicine and Pharmacy 2013;20(14):2112-2114
CountryChina
Language:Chinese
Abstract: Objective To observe the clinical efficacy of three types of drainage in the treatment of malignant obstructive jaundice.Methods 84 patients with malignant obstructive jaundice were selected,40 cases were treated with bridge drainage,24 cases were undergone percutaneous transhepatic cholangial drainage(PTCD) and 20 cases were treated with Roux-En-Y anastomosis.The changes of total bilirubin and direct bilirubin were detected 1,3,7 and 14 days after operation.Results The total bilirubin and direct bilirubin after 1,3,7 and 14 days had significantly decreased compared with pre-treatment(P ＜0.05),the decline rates in bridge drainage group were faster than the other two groups (P ＜ 0.05).Conclusion The three types of drainage for treating malignant obstructive jaundice have exact effect,and the bridge drainage can reduce the bilirubin to lower levels more quickly than the other two methods.