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| Controlled Research of the Treatment of the Malignant Biliary |Obstruction Jaundice by Percutaneous Transhepatic Route and the |Duodenoscopic Approach Biliary Stent Placement |
| HUANG Renping |
| The People's Hospital of Gaozhou, Guangdong Gaozhou 525200, China |
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Abstract Objective: To investigate the clinical efficacy of the treatment of malignant biliary obstruction jaundice by percutaneous transhepatic route and duodenoscopic approach biliary stent placement. Methods: 110 patients with malignant biliary obstructive jaundice from December 2013 to March 2015 accepted in our hospital, were divided into experimental group and control group by the random number table method, 55 cases in each group. After admission to hospital, patients in the two groups before operation were given hepatoprotective, diuretic and anti infection etc., improve the patient's general condition. Patients in the experimental group were treated by percutaneous transhepatic biliary stent implantation, and the control group were treated by endoscopic biliary stent implantation. The levels of total bilirubin (TB), direct bilirubin (DB), indirect bilirubin (IB), the average survival period, complication rate and total efficiency of the treatment between the two groups before and after treatment were observed and compared. after treatment. Results: After treatment, compared with before treatment, the TB, DB and IB levels were decreased, the difference was statistically significant (P < 0.05); Compared with the control group, TB, DB, IB levels were lower in patients of the experimental group than that in control group, the difference was statistical significance (P < 0.05); Compared with the control group, postoperative average survival period was longer in patients of the experimental group than that in control group, the difference was statistical significance (P < 0.05); Compared with the control group, the incidence of complications in patients of the experimental group were lower, clinical effective rate was higher, and the difference was statistically significant (P < 0.05). Conclusion: The clinical efficacy of the percutaneous transhepatic route in the treatment of malignant biliary obstruction is better than duodenoscopic approach biliary stent placement, more conducive to reduced levels of bilirubin, prolong the survival of patients, improve the treatment efficacy.
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2017, Vol. 23 
