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目的:探讨上段晚期胆管癌姑息性手术中内置硅胶支撑管引流胆汁对手术疗效的影响。方法:以78例上段胆管癌晚期患者为研究对象,均予以姑息性切除肿瘤,按引流方式的不同分为对照组和支撑引流组,各39例,对照组采用T管外引流,支撑引流组采用胆道硅胶支撑管引流,比较两组肝功能指标恢复情况、并发症发生以及生存时间。结果:与对照组相比,支撑引流组患者肝功能恢复快,并发胆管炎的几率显著降低(25.6%vs.7.7%),术后生存时间延长[(13.39±2.79)个月vs.(10.89±2.63)个月],两组结果比较,具有统计学意义(P<0.05)。结论:内置硅胶支撑管引流胆汁可显著提高晚期上段胆管癌姑息性手术的成功率,降低术后并发症,改善临床预后。
Objective: To investigate the effect of silicone biliary drainage tube drainage in the palliative surgery of advanced bile duct cancer. Methods: A total of 78 patients with advanced cholangiocarcinoma were enrolled in this study. All patients underwent palliative resection of the tumor and were divided into control group and support and drainage group according to different drainage methods. The control group received T-tube drainage and support drainage group Biliary silicone tube drainage, comparing the recovery of liver function indicators, complications and survival time. Results: Compared with the control group, the recovery of liver function and the risk of complicated cholangitis were significantly reduced (25.6% vs.7.7%) in the patients in the supporting drainage group, and the postoperative survival time was longer [(13.39 ± 2.79) months vs. (10.89 ± 2.63) months, the results of the two groups were statistically significant (P <0.05). Conclusion: The biliary drainage tube with silicone tube can significantly improve the success rate of palliative surgery for advanced bile duct cancer, reduce the postoperative complications and improve the clinical prognosis.