摘要
目的比较全覆膜与非覆膜金属支架在胆道恶性梗阻中的应用价值。方法以2013年7月至2015年9月本科接诊的46例胆道恶性梗阻病例为研究对象,根据患者入组时间将所选病例分成甲、乙两组,每组23例。甲组行全覆膜金属支架术,乙组行非覆膜金属支架术。比较两组支架通畅率等指标。结果甲组支架开通中位时间为(184.1±11.7)d、并发症发生率为8.7%、支架畅通率为91.3%,乙组分别为(190.2±11.9)d、13.04%、82.61%。组间差异不明显,无统计学意义(P>0.05)。两组肝功能较术前明显改善,比较肝功能改善程度,组间差异无统计学意义(P>0.05)。结论于胆道恶性梗阻中用全覆膜或非覆膜金属支架术均能取得较好的成效,且两者安全性相当,不影响患者生存质量。
Objective To analyze the whole coated and non coated metallic stent application value in malignant biliary obstruction.Methods In July 2013-September 2015,our department accepted the 46 cases of malignant biliary obstruction cases as the research object,according to selected time,cases were divided into group A and group B,each group with 23 cases. Group A received full covered metal stent,group B received noncovered metal stent. The patency rate of two groups were compared. Results Open median time in group A was( 184.1± 11. 7) d,the incidence of complications was 8. 7%,support flow rate was 91. 3%,( respectively,13.04%,82.61%( 190.2±11.9) d. There was no difference between two groups,no statistical significance( P>0.05).Two groups compared with preoperative liver function improved significantly,improved the liver function,there was no statistically significant difference between groups( P > 0. 05). Conclusions Malignant biliary obstruction received full covered metal stent or received non-covered metal stent can achieve good results,and the safety of the two methods are equivalent,which does not affect the life quality of patients.
引文
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