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目的观察分析胆胰管双支架治疗胰头癌的临床效果,总结临床经验。方法胰头癌患者112例,将其按照数字表随机抽样的方法分为实验组和对照组,每组56例,实验组的患者采用胆胰管双支架的方法进行治疗,对照组的患者则仅仅在胆管内放置支架进行治疗,对比两组患者的临床疗效。结果经过治疗后实验组的患者疼痛情况明显好于对照组,其差异具有统计学意义(P<0.05)。两组患者的血清总胆红素的含量明显降低,但实验组患者下降程度高于对照组,其差异具有统计学意义(P<0.05)。肝功能恢复情况也明显好于对照组,其差异具有统计学意义(P<0.05)。结论胆胰管双支架治疗胰头癌的疗效显著,可以有效控制病情,减轻并发症的发生,是值得临床上进行推广和使用的有效方法。
Objective To observe and analyze the clinical effect of biliary and pancreatic duct stents in the treatment of pancreatic head cancer and summarize the clinical experience. Methods One hundred and twelve patients with pancreatic head cancer were divided into experimental group and control group according to the random sampling method of digital table, 56 cases in each group. Patients in experimental group were treated with double-stent of biliary and pancreatic duct, while those in control group The stent was placed in the bile duct only for treatment, comparing the clinical efficacy of the two groups. Results After treatment, the pain scores of patients in the experimental group were significantly better than those in the control group (P <0.05). Serum total bilirubin levels in both groups were significantly lower, but the decline in the experimental group was higher than that in the control group, the difference was statistically significant (P <0.05). Liver function recovery was also significantly better than the control group, the difference was statistically significant (P <0.05). Conclusions The treatment of pancreatic head cancer with double scaffolds has a significant curative effect, which can effectively control the disease and reduce the incidence of complications. It is an effective method worthy of clinical promotion and use.