本文選題：黃疸　切入點：梗阻性　出處：《中國介入影像與治療學(xué)》2015年04期

【摘要】：目的探討經(jīng)右腋中線分別穿刺左右肝管治療惡性高位梗阻性黃疸的介入治療方法及療效。方法我院79例惡性高位梗阻性黃疸患者采用經(jīng)右側(cè)腋中線入路左右肝管雙側(cè)引流,術(shù)前、術(shù)后1周及術(shù)后2周分別測定血清膽紅素水平及肝功能指標(biāo),分析血清膽紅素下降、肝功能改善情況及術(shù)后并發(fā)癥。結(jié)果本組手術(shù)成功率為100%,術(shù)后未出現(xiàn)與手術(shù)操作有關(guān)的嚴(yán)重并發(fā)癥。術(shù)前血清膽紅素含量為(385.05±115.97)μmol/L,術(shù)后1周為(241.23±99.69)μmol/L,術(shù)后2周為(154.82±75.88)μmol/L,差異有統(tǒng)計學(xué)意義(F=122.168,P0.001);術(shù)后肝功能指標(biāo)均下降明顯,與術(shù)前相比差異有統(tǒng)計學(xué)意義(P0.001)。結(jié)論經(jīng)右側(cè)腋中線穿刺行左右肝管雙側(cè)引流治療惡性高位梗阻性黃疸是安全可行、近期療效滿意的治療方法。
[Abstract]:Objective to investigate the interventional treatment of malignant high obstructive jaundice with right axillary median line puncture and left and right hepatic duct.Methods 79 patients with malignant high obstructive jaundice were treated with bilateral drainage of left and right hepatic ducts via the right axillary midline approach. Serum bilirubin levels and liver function indexes were measured before operation, 1 week after operation and 2 weeks after operation, and the decrease of serum bilirubin was analyzed.Improvement of liver function and postoperative complications.Results the successful rate of operation was 100 and there were no serious complications related to operation.鏈墠琛，

本文編號：1706560