Percutaneous transhepatic cholangiography and drainage for malignant obstructive jaundice
10.3760/cma.j.issn.1007-631X.2018.05.007
- VernacularTitle:两种不同经皮肝穿刺胆道引流术的疗效观察
- Author:
Kaipeng HUANG
1
;
Zhe LI
;
Longshuan ZHAO
Author Information
1. 450052,郑州大学第一附属医院肝胆胰外科
- Keywords:
Jaundice,obstructive;
Drainage
- From:
Chinese Journal of General Surgery
2018;33(5):385-387
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of two different percutaneous transhepatic cholangiography and drainage (PTCD) procedures for malignant obstructive jaundice.Methods According to whether the tip of the catheter was carried across the ampulla and into the duodenum,patients were divided into external drainage group (54 cases) and both internal and external drainage group (57 cases).The effects of two surgical procedures on reducing jaundice,the postoperative complications,hospitalization days,and total hospitalization expenses were evaluated.Results Postoperative TBiL decreased significantly in both the two groups (t =2.338,P ＜ 0.05).The postoperative DBiL values went even lower in both external and internal group (t =2.201,P ＜ 0.05).There were 14 cases of biliary tract infection in the external drainage group,and 27 cases in two ways group (x2 =5.473,P ＜0.05).Total hospitalization expenses were statistically different between the two group (t =-2.200,P ＜ 0.05).Conclusion The internal and external drainage has a better drainage effect than the external drainage group,but more likely to cause infection of biliary tract,increase hospitalization expenses.
