晚期肝门部梗阻的减黄治疗

目的 探讨不同病因致肝门部梗阻后外科减黄方法间的疗效差异。方法 回顾总结2000至2004年32例因肝门部梗阻而手术减黄的临床资料。结果 32例中手术姑息切除病灶后内引流8例，手术单纯内引流12例，介入法引流12例。切除组与内引流组及介入组的术后平均生存期分别为16．7、11．2月和5．4月，三者疗效间比较差异有显著意义P〈O．05。结论 晚期肝门部梗阻性黄疸应争取手术探查，减黄措施应首选姑息切除手术后内引流。

Surgical Treatment of Late Hilar Obstruction for Reducing Jaundice

Objective Objective To define the difference of therapeutic effects of different surgical treatments in reducing jaundice for late hilar obstruction.Methods Clinical data of 32 patients with hilar obstructions treated surgically in our hospital from 2000 to 2004 were analyzed retrospectively.Results Of the 32 patients,8 cases underwent palliative resections, 12 cases did pure surgical drainage and 12 cases underwent interventional drainage.The mean survival time after operation was 16.7 mouths, 11.2 mouths and 5.4 mouths respectively in three groups.There was significant difference(P<0.05)with each other.Conclusion Surgical exploration is still the choice for the treatment of late hilar obstruction,and the best way to reduce jaundice is internal drainage after palliative resection.