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目的:总结治疗胃癌No.13淋巴结转移引起胃癌术后黄疸的经验。方法:回顾性分析从2007年6月—2012年10月,收治5例胃癌术后No.13淋巴结转移引起的黄疸患者的临床资料。结果:5例患者中,放弃治疗1例,剖腹行胆总管置T管1例;另3例,在ERCP下,放置胆道内支撑架,2例置管成功,1例置管失败。胆总管置T管和ERCP置管成功者,术后2周左右黄疸消退,生存时间超过10个月。未行胆道引流者,生存时间为1~2个月。结论:有效的胆道引流可在短时间内迅速减退因胃癌No.13淋巴结转移压迫胆总管而引起的阻塞性黄疸,延长患者的生存时间。
Objective: To summarize the experience of postoperative jaundice for gastric cancer caused by lymph node metastasis of gastric cancer. Methods: The clinical data of 5 patients with jaundice caused by postoperative lymph node metastasis of No. 13 postoperatively from June 2007 to October 2012 were retrospectively analyzed. Results: Among the 5 patients, 1 case was given up for treatment and 1 case of T tube was placed in the cesarean section in the laparotomy. In the other 3 cases, the biliary stent was placed under the ERCP, 2 cases were successfully placed and 1 case failed to be inserted. Tot tube placed in the common bile duct and ERCP catheter successfully, about 2 weeks after jaundice subsided, the survival time of more than 10 months. Without biliary drainage, survival time of 1 to 2 months. Conclusion: Effective biliary drainage can rapidly reduce the obstructive jaundice caused by the compression of the common bile duct due to lymph node metastasis of gastric cancer No.13 in a short period of time, prolonging the survival time of patients.