| Objective To compare the short-term efficacy and to evaluate the indication of two kinds of palliative treatment in patients with malignant obstructive jaundice.Methods In December 2006 to December 2010 in our hospital palliative treatment of concurrent treatment 103 patients with malignant obstructive jaundice were selected, according to their different treatment methods who were divided into percutaneous transhepatic biliary stenting (PTBS) group (61 cases) and endoscopic retrograde biliary stenting (ERBS) group (42 cases), the recent recovery of liver function, the morbidity rate and the success rate of different treatment methods in the different types of malignant obstructive were evaluated.Result The success rate of PTBS and ERBS was 81.96% and 90.48% respectively. there was significant difference between the two treatment methods in complications of the pancreatitis and biliary tract bleeding (P<0.05); In theâ…£type hilar cholangiocarcinoma the treatment success rate of percutaneous transhepatic stenting was obviously advantageous.Conclusion There is advantages and disadvantages in the complications of two treatment methods, For the treatment ofâ…£type hilar cholangiocarcinoma percutaneous transhepatic biliary stenting should be favored, forâ… andâ…¡types of hilar cholangiocarcinoma and periampullary carcinoma endoscopic retrograde biliary Stenting is indicated,and forâ…¢type of hilar cholangiocarcinoma one of the two palliative treatment should be chosen is according to the specific circumstanced. |
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