216例恶性阻塞性黄疸患者手术疗效的因素分析

目的 探讨影响恶性阻塞性黄疸临床治疗的预后因素。方法 对１９９０年１月～１９９７年１２月２１６例恶性阻塞性黄疸手术患者的１７种临床指标进行分析。结果 １７３例（８０．１％）手术后１个月存活,发生并发症８１例,发生率３７．５％。台术者胆管炎、胆瘘、出血、肾功能衰竭等并发症均高于姑息术者,差异均有显著性（Ｐ〈０．０１）;１月生存率和术后并发症发生率与ＡＳＡ分级、黄疸持续的时间等有明显关系（Ｐ〈０．０１

Prognostic factors of clinical curative effect for malignant obstructive jaundice

Objective To explore prognostic factors for clinical treatment of patients with malignant obstructive jaundice. Methods17 variables from 216 consecutive patients with malignant obstructive jaundice admitted from 1990 to 1997 were included for statistical analysis. Results The overall mortality was 19 9% (43/216), and the morbidity 37 5% (81/216). The morbidity of radical operation was higher than that of palliative operation( P <0 01). There was a highly significant correlation between mortality, morbidity , ASA grade and duration of jaundice ( P <0 01). No correlation was seen between the mortality, type of operation and cause of jaundice. There was a highly significant correlation between the morbidity and the type of operation. ConclusionsThe choice of operation in patients with malignant obstructive jaundice is radical operation. Early diagnosis and choice of treatment are essential to improving carative effect.