[顺行法治疗合并机械性黄疸的胆管结石]
[Antegrade approach for cholangiolithiasis complicated by mechanical jaundice].
作者信息
Prazdnikov E N, Baranov G A, Zinatulin D R, Umyarov R Kh, Shevchenko V P, Nikolayev N M
机构信息
Evdokimov Moscow State University of Medicine and Dentistry of Healthcare Ministry of the Russian Federation, Moscow, Russia; Br. Bakhrushiny Municipal Clinical Hospital of Moscow Healthcare Department, Moscow, Russia.
Evdokimov Moscow State University of Medicine and Dentistry of Healthcare Ministry of the Russian Federation, Moscow, Russia, Br. Bakhrushiny Municipal Clinical Hospital of Moscow Healthcare Department, Moscow, Russia.
出版信息
Khirurgiia (Mosk). 2018(1):21-25. doi: 10.17116/hirurgia2018121-25.
AIM
To improve an efficiency of surgical treatment of patients with cholelithiasis complicated by obstructive jaundice through antegrade interventional approach.
MATERIAL AND METHODS
166 patients aged from 23 to 92 years with cholangiolithiasis complicated by mechanical jaundice were enrolled. Patients were divided into 2 groups: group I (136) - retrograde endoscopic method, group II (30) - antegrade interventional approach.
RESULTS
In the first group surgical efficacy was 79.4%. Morbidity and mortality were 13% and 2% respectively. In the second group these values were 96.7%, 10% and 3% respectively.
CONCLUSION
Antegrade interventional approach for minimally invasive procedures is technically feasible, has the same effectiveness as the retrograde endoscopic method and also all advantages of minimally invasive techniques.
目的
通过顺行介入方法提高合并梗阻性黄疸的胆石症患者的外科治疗效率。
材料与方法
纳入166例年龄在23至92岁之间、合并机械性黄疸的胆管结石患者。患者分为两组：第一组（136例）采用逆行内镜方法，第二组（30例）采用顺行介入方法。
结果
第一组手术有效率为79.4%。发病率和死亡率分别为13%和2%。第二组的这些数值分别为96.7%、10%和3%。
结论
顺行介入方法用于微创操作在技术上是可行的，与逆行内镜方法具有相同的有效性，并且具备微创技术的所有优点。
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