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目的比较观察桥式引流、PTCE、ROUX-EN-Y在治疗恶性梗阻性黄疸中的疗效。方法对该院1997￣2004年共126例恶性梗阻性黄疸病人资料按手术方式进行分组回顾总结,对数据资料进行统计学分析。结果3组病例各指标之间无显著性差异,桥式引流术胆红素下降速度较另外两组更快。结论3种引流方式在降低胆红素绝对值方面差异无显著性,但桥式引流可以更快降低胆红素至较低水平。
Objective To compare the efficacy of bridge drainage, PTCE and ROUX-EN-Y in the treatment of malignant obstructive jaundice. Methods A total of 126 patients with malignant obstructive jaundice from 1997 to 2004 were retrospectively reviewed and grouped according to surgical methods. Data were analyzed statistically. Results There was no significant difference among the three groups of indicators. The rate of bilirubin in bridge-type drainage was faster than that in the other two groups. Conclusion There are no significant differences in the reduction of bilirubin absolute value among the three drainage methods, but bridge drainage can reduce bilirubin to a lower level.