Percutaneous Transhepatic Biliary Drainage in Patients with Malignant Obstructive Jaundice

Objective To discuss the therapeutic value of percutaneous transhepatic biliary drainage(PTCD) in the treatment of malignant obstructive jaudice.Methods Seventy-six patients with malignant obstructive jaundice were admitted.Fifty-seven of them were treated with biliary stenting,while nineteen with external drainage or external and internal drainage.Pre-and post-procedural ALT,AST and bilirubin were compared between stenting and drainage groups.Results Post-procedural ALT,AST and bilirubin decreased significantly than that of preprocedure.Average survival time of stenting and drainage groups was 14.2 and 8.6 months respectively.Conclusion Biliary stenting with good patency is safe and effective.Compared with drainage,stenting can significantly prolong survival time of patients.