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目的探讨胆肠T管架桥内引流手术治疗老年晚期恶性胆道梗阻患者的疗效。方法 60例老年晚期恶性胆道梗阻患者,随机分为观察组和对照组,各30例。对照组采用常规治疗,观察组采用胆肠T管架桥内引流手术进行治疗,比较两组患者术后生存时间、胆红素水平及卡氏功能状态评分(KPS)分数。结果观察组6个月、1年及2年生存率均高于对照组,两组患者生存时间比较差异具有统计学意义(P<0.05);观察组胆红素水平(131.2±1.5)μmol/L少于对照组(221.5±2.6)μmol/L;观察组的KPS分数(76.4±2.5)分高于对照组(59.2±1.2)分;两组患者胆红素水平、KPS分数比较差异均具有统计学意义(P<0.05)。结论胆肠T管架桥内引流手术治疗老年晚期恶性胆道梗阻患者疗效优良,可提高护理质量,可在临床上推广应用。
Objective To investigate the effect of choledochojejunostomy with T-stent drainage in the treatment of elderly patients with advanced malignant biliary obstruction. Methods Sixty elderly patients with malignant biliary obstruction were randomly divided into observation group and control group, with 30 cases in each group. The control group was treated with conventional therapy. The observation group was treated with T-tube cholangiography and drainage. The survival time, bilirubin level and Karnofsky Performance Score (KPS) scores of the two groups were compared. Results The 6-month, 1-year and 2-year survival rates in the observation group were significantly higher than those in the control group (P <0.05). The bilirubin level in the observation group was (131.2 ± 1.5) μmol / L was lower than that of the control group (221.5 ± 2.6) μmol / L. The KPS score of the observation group was higher than that of the control group (76.4 ± 2.5) (59.2 ± 1.2). The difference of bilirubin level and KPS score between the two groups had Statistical significance (P <0.05). Conclusion The treatment of choledocholithotracheal tube drainage in the treatment of advanced malignant biliary obstruction in elderly patients with excellent curative effect can improve the quality of care, which can be widely applied in clinic.