Gobien R P, Stanley J H, Soucek C D, Anderson M C, Vujic I, Gobien B S
Radiology. 1984 Aug;152(2):353-6. doi: 10.1148/radiology.152.2.6739798.
The routine application of preoperative percutaneous transhepatic biliary drainage (PTBD) to patients who have obstructive jaundice has a significant effect on overall morbidity, mortality, and patient survival by allowing selective application of the most appropriate therapeutic modality. Surgical patients who undergo PTBD were compared with those for whom PTBD was not available. The surgical complication rate was 44% for those who did not undergo PTBD and 15% for those who did. The surgical procedure-related mortality rate was 30% for those who did not undergo PTBD and 12% for those who did. These differentials may have been due either to a beneficial effect of presurgical decompression or to the fact that only more favorable candidates were selected for operative internal bypass. There was an overall increase in length of survival following the application of PTBD, especially in those patients who were surgical candidates.
对患有梗阻性黄疸的患者常规应用术前经皮经肝胆道引流（PTBD），通过允许选择性应用最合适的治疗方式，对总体发病率、死亡率和患者生存率有显著影响。将接受PTBD的手术患者与未接受PTBD的患者进行比较。未接受PTBD的患者手术并发症发生率为44%，接受PTBD的患者为15%。未接受PTBD的患者手术相关死亡率为30%，接受PTBD的患者为12%。这些差异可能是由于术前减压的有益作用，或者是因为仅选择了更适合手术的患者进行手术内旁路治疗。应用PTBD后患者总体生存时间有所延长，尤其是那些适合手术的患者。
