|
|
|
| Comparison of the Efficacy of Endoscopic vs.Percutaneous Transhepatic Biliary Metal Stent Place-ment for the Treatment of Malignant Extrahepatic Biliary Obstruction |
| WUMing-hao |
|
|
|
|
Abstract [Objective]To explore the efficacy of different ways of metal stent placement for the treatment of advanced malignant obstructive jaundice in order to provide the basis for selecting better method for clinical treat-ment.[Methods]Clinical data of 80 patients with malignant extrahepatic biliary obstruction undergoing endoscopic biliary metal stent placement and 80 patients with malignant extrahepatic biliary obstruction undergoing percutane-ous transhepatic biliary metal stent placement in our hospital from Jan.2009 to Jan.2013 were analyzed retrospec-tively.The achievement ratio of operation,the incidence of postoperative complications,the unobstructed time of stents and the survival time of patients between two groups were compared.[Results]Liver function of two groups after operation was significantly improved.There was no significant difference in the decline of total bilirubin (TB),alkaline phosphatase(ALP)and gamma glutamyl transferase(GGT)between two groups.The achievement ratio of percutaneous transhepatic biliary metal stent placement was higher than that of endoscopic biliary metal stent placement,but the incidence of the complications of percutaneous transhepatic biliary metal stent placement was obviously higher than that of endoscopic biliary metal stent placement.There was no significant difference in the unobstructed time and survival time between two groups.[Conclusion]The first choice of treating the patients with malignant extrahepatic biliary obstruction is percutaneous transhepatic biliary metal stent placement.If the operation is failure,percutaneous transhepatic biliary stent placement by PTC can be considered.
|
|
|
|
|
|
|
|
|
2014, Vol. 31 
