115例恶性梗阻性黄疸介入治疗疗效评价

目的：探讨经皮肝穿刺胆管引流术治疗恶性梗阻性黄疸的价值。方法：对经临床确诊的恶性梗阻性黄疸115例患者，给予经皮肝穿刺胆管引流术，根据病情不同对86例患者行内外引流治疗，29例患者行外引流治疗，评价其治疗效果。结果：115例中110例患者全身症状均得到改善，5例未能完成治疗；全部患者术后血清胆红素、转氨酶较术前均明显下降，差异有统计学意义（P〈0．05）。结论：恶性梗阻性黄疸患者经皮肝穿刺胆管引流术介入治疗，可缓解病情，争取进一步治疗机会。

Evaluation on Curative Effect of Interventional Therapy for 115 Cases with Malignant Obstructive Jaundice

Objective: To explore the value of percutaneous transhepatic biliary drainage(PTBD) in the treatment of the malignant obstructive jaundice.Methods:115 cases of the malignant obstructive jaundice with CT and biochemical examination were enrolled in this study to be treated with external or internal drainage(83 cases) and external drainage(27 cases) according to different situations.Results: For 115 cases,the general conditions of the patients were obviously improved and serum total bilirubin level and enzyme were obviously descended after drainage was performed.There were statistically differences between the two groups(P<0.05).Conclusion: Based on the observation of the effect of PTBD for the cases of the malignant obstructive jaundice,PTBD is a reliable and effective method for the treatment.