PTCD与胆道空肠体外架桥胆汁内引流术在梗阻性黄疸术前减黄比较

Comparison of reducing jaundice between that bile is drained inside bodys by means of connecting gallbaldder with jejunum through the bridge and PTCD

为比较严重梗阻性黄疸病人术前减黄的效果、并探讨其与Ｗｈｉｐｐｌｃｓ手术后合并症，死亡率的关系，对３６例病人行ＰＴＣＤ减黄，６例行胆囊空肠体外架桥胆汁内引流术减黄、发现胆囊空肠体外架桥胆汁内引流出的减黄效果比ＰＴＣＤ好，且Ｗｈｉｐｐｌｅｓ手术后并发症及死亡率低。

In order to compare the effect of reducing jaundice on the patients with severe obstruction jaundice before whipple's operation and complication and mortality after whipple's operation. PTCD was performed in 36 patients and that bile is drained inside pody by means of connecting gallballder with jejunum through the bridge in 6 patients.We found that the later effect of reducing jaundice was better than that of PTCD method.Complication and mortilify after whipple's operation was lower in later's method than those of PTCD method.