腹腔镜胆管癌根治术与经皮经肝胆道引流介入治疗胆管癌的效果及影响分析

临床普外科电子杂志 ›› 2022, Vol. 10 ›› Issue (3): 67-.

腹腔镜胆管癌根治术与经皮经肝胆道引流介入治疗胆管癌的效果及影响分析

长江大学第一临床医学院肝胆外科，湖北荆州 434021

出版日期:2022-07-01 发布日期:2022-10-24

Effect and impact analysis of laparoscopic radical cholangiocarcinoma and percutaneous transhepatic gallbladder drainage and interventional therapy for cholangiocarcinoma

Hepticbile Surgery Department of The First Clinical Medical School of Yangtze University, Hubei Jingzhou 434021, China

Online:2022-07-01 Published:2022-10-24

摘要/Abstract

摘要：

目的分析腹腔镜胆管癌根治术与经皮经肝胆道引流介入治疗胆管癌的效果及影响。方法选取2019 年1 月至2022 年1 月长江大学第一临床医学院收治的胆管癌患者60 例，根据治疗方式不同分为对照组与观察组各30 例，对照组患者采用经皮经肝胆道引流介入治疗，观察组患者采用腹腔镜胆管癌根治术治疗，比较两组治疗前后患者应激反应、肝功能水平以及治疗后两组临床治疗效果。结果两组患者治疗前应激反应和肝功能水平无显著差异（P ＞ 0.05），治疗后两组患者各项指标均优于治疗前，差异均有显著性（P

＜ 0.05）。观察组治疗后各项指标显著优于对照组（P ＜ 0.05）；观察组治疗总有效率（96.67%）高于对照组（80.00%），差异有显著性（P ＜ 0.05）。结论相比于经皮经肝胆道引流介入治疗胆管癌患者，采用腹腔镜胆管癌根治术，既可提升治疗安全性，又可改善患者病情。

关键词: 腹腔镜胆管癌根治术, 经皮经肝胆道引流, 介入治疗, 胆管癌

Abstract:

Objective To analyze the effect and influence of laparoscopic radical cholangiocarcinoma and percutaneous transhepatic gallbladder drainage and Interventional therapy in the treatment of cholangiocarcinoma. Methods 60 patients with cholangiocarcinoma admitted to the First Clinical Medical College of Yangtze University from January 2019 to January 2022 were selected and divided into control group and observation group according to different treatment methods. The patients in the control group were treated with percutaneous transhepatic gallbladder drainage ang intervention therapy, and the patients in the observation group were treated with laparoscopic radical cholangiocarcinoma. The stress response, liver function level and clinical treatment effect of the two groups before and after treatment were compared. Result There was no significant difference in stress response and liver function between the two groups before treatment (P ＞ 0.05), and the indexes of the two groups

after treatment were better than those before treatment (P ＜ 0.05). The indexes of the observation group were significantly better than those of the control group (P ＜ 0.05); The total effective rate of the observation group (96.67%) was significantly higher than that of the control group (80.00%) (P ＜ 0.05). Conclusion Compared with percutaneous transhepatic gallbladder drainage for patients with cholangiocarcinoma, laparoscopic radical cholangiocarcinoma can not only improve the safety of treatment, but also improve the condition of patients.

Key words: Laparoscopic radical cholangiocarcinoma, Percutaneous transhepatic gallbladder drainage, Interventional therapy, Cholangiocarcinoma

李阳, 彭滔. 腹腔镜胆管癌根治术与经皮经肝胆道引流介入治疗胆管癌的效果及影响分析 [J]. 临床普外科电子杂志, 2022, 10(3): 67-.

LI Yang, PENG Tao. Effect and impact analysis of laparoscopic radical cholangiocarcinoma and percutaneous transhepatic gallbladder drainage and interventional therapy for cholangiocarcinoma [J]. Journal of General Surgery for Clinicians, 2022, 10(3): 67-.