2013Heilongjiang Medical JournalRequires access

Analysis of the Clinical Effect of Biliary Stent with Surgical Drainage to Palliative Treatment of Malignant Obstructive Jaundice

YU Xiao-fang

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Abstract

Objective To analyze the therapeutic effect of biliary stent and surgical drainage to palliative treatment of malignant obstructive jaundice.Methods A total of 383 patients with inoperable malignant obstructive jaundice were treated in our hospital,among which 298 patients had endoscopic drainage by biliary stent(endoscopic group);Simultaneously 85 patients were selected for operation by intra-external drainage(surgical group).Observation values were compared between the two group.Results There were no significant differences of the average time to 50% decrease of direct bilirubin or mortality rate between the two groups(P 0.05).The postoperative complications,the average length of hospitalization,the average cost of hospitalization of endoscopic group were less than those of surgical group(P 0.05).Conclusion For palliative treatment of malignant obstructive jaundice,endoscopic drainage has advantages of minimally invasive,reducing average length and average cost of hospitalization.

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Objective To analyze the therapeutic effect of biliary stent and surgical drainage to palliative treatment of malignant obstructive jaundice.Methods A total of 383 patients with inoperable malignant obstructive jaundice were treated in our hospital,among which 298 patients had endoscopic drainage by biliary stent(endoscopic group);Simultaneously 85 patients were selected for operation by intra-external drainage(surgical group).Observation values were compared between the two group.Results There were no significant differences of the average time to 50% decrease of direct bilirubin or mortality rate between the two groups(P 0.05).The postoperative complications,the average length of hospitalization,the average cost of hospitalization of endoscopic group were less than those of surgical group(P 0.05).Conclusion For palliative treatment of malignant obstructive jaundice,endoscopic drainage has advantages of minimally invasive,reducing average length and average cost of hospitalization.

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Available abstract

Objective To analyze the therapeutic effect of biliary stent and surgical drainage to palliative treatment of malignant obstructive jaundice.Methods A total of 383 patients with inoperable malignant obstructive jaundice were treated in our hospital,among which 298 patients had endoscopic drainage by biliary stent(endoscopic group);Simultaneously 85 patients were selected for operation by intra-external drainage(surgical group).Observation values were compared between the two group.Results There were no significant differences of the average time to 50% decrease of direct bilirubin or mortality rate between the two groups(P 0.05).The postoperative complications,the average length of hospitalization,the average cost of hospitalization of endoscopic group were less than those of surgical group(P 0.05).Conclusion For palliative treatment of malignant obstructive jaundice,endoscopic drainage has advantages of minimally invasive,reducing average length and average cost of hospitalization.

Key concepts: Medicine, Obstructive jaundice, Biliary drainage, Stent, Jaundice, Surgery, Palliative treatment, Drainage

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