恶性阻塞性黄疸术前减黄手术的必要性

NECESSITY OF PREOPERATIVEF RELIEF OF JAUNDICE IN MALIGNANT OBSTRUCTIVE JAUNDICE(ABSTRACT)

本文通过对51例乏特氏壶腹周围癌致恶性阻塞性黄疸病例的分析,探讨了术前减黄的必要性和减黄方法的合理选择。结果表明:术前减黄可以降低手术死亡率(术前减黄组手术死亡率9％,未减黄组手术死亡率17.3％)。作为术前减黄方法胆囊造瘘、空肠造瘘体外架桥连管内引流术,简便、有效、易行。

51 patients with malignant obstructive jaundice caused by Vater'speriampullary carcinoma were reported. And the necessity of preoper-ative relief of jaundice and right choice of jaundice relieving methoddiscussed. It is showed that the mortality rate in preoperative jaundicerelieving group is 9%, and 17.3% in unrelieving group. Of the jaundicerelieving methods, cholecystojejunostomy with outbody bridge-transferingdrainage was easy to perform and effective.