桥式胆肠内引流术治疗无法切除的肝门胆管癌

BILE-JEJUNUM BRIDGE DRAINAGE TREATMEENT OF IRREMOVABLE HILAR BILE DUCT CARCINOMA

目的 探讨肝门部胆管癌的减黄方法。方法 总结 1992年 5月～ 1999年 5月对无法切除的肝门部胆管癌行桥式胆肠内引流术 2 1例 ,其中右肝管十二指肠引流 9例 ,左肝管胃窦引流 5例 ,右、左肝管十二指肠、胃窦引流 7例 ,观察手术前、术后血转氨酶、谷胺酰转肽酶、碱性磷酸酶和总胆红素的变化。结果 手术前后血转氨酶、谷胺酰转肽酶、碱性磷酸酶和血清胆红素均有明显下降 (P<0 .0 1)。结论 桥式胆肠内引流术是一种简单、安全。

Objective To explore methods to reduce the jaundice of hilar bile duct carcinoma.Methods To sum up 21 cases of Irremovable hilar bile duct carcinoma with bile-jejunum bridage-drainage which were hospitalized between May 1992 and May 1999 in our hospitae including 9 cases of right hepatic duct-duodenum bridgedrainage,5 cases of left hepatic duct-gastric antrum bridgedrainage and 7 cases of both bridge-drainges.Changes of GPT, GOT,r-GT,AKP and TBIL level before and after drainages were calculated.Results GPT,GOT,r-GT,AKP and TBLL Level reduced significantly after drainages(P<0.01).Conclusions Bile-jejunum bridge-drainege is a simple,safe and effective method to reduce jaundice.