ghd hair Percutaneous treatment of biliary stent d

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Percutaneous biliary stent drainage for malignant obstructive jaundice of 21 Cases

Road drainage stent patients were successful. Except for 1 case of bile drainage in patients with less obvious effects of jaundice, the remaining patients with clinical symptoms of jaundice and 2.2 leads to significant improvement in both the courage and lower serum total bilirubin level set by the extraction of the bile drainage tube seedlings for the 62 ~ 876ml / d, an average of 522ml / d. Serum total bilirubin level (normal 3.4 ~ 20.5txmol / 1) decreased to 10.1 ~ 2l0.4txmol / l, mean (87.5 ± 63.1) txmol / l, including 2 patients to the normal range. 2.3 There were no operative complications occurred in 1 case in this group without cholangitis,[link widoczny dla zalogowanych], sepsis, bile leakage, the day of juice, peritonitis, abdominal hemorrhage. 2.4 The improvement of the quality of life of patients after treatment increased appetite, weight has increased to some extent, improved liver function, systemic symptoms and were generally improved to varying degrees, effectively improve the quality of life of patients with different degrees extended cattle were kept time. 3 appropriate to discuss the surgery of small malignant obstructive jaundice treatment, there are external drainage and internal drainage of two drainage methods. Common external drainage with traditional laparotomy set T tube drainage, PTCD and so on. However, since this type of surgery can be IIIl large halo lost bile, water, electrolyte and acid-base balance disorders, digestion, absorption and gastrointestinal motility disorder, resulting in displacement of intestinal flora and endotoxin in the blood produced disease. mf common internal drainage, with the traditional laparotomy cholangioenterostomy internal drainage, the T-tube drainage of intra-abdominal surgery within the bridge type, bridge type external biliary-enteric bypass and a variety of human biliary stent drainage operation, etc. These internal drainage also has its own advantages and disadvantages. In recent years,[link widoczny dla zalogowanych], more and more physicians tend to use internal drainage, particularly percutaneous transhepatic foot biliary stent drainage. Its main advantages are not easy to shift and set off after people, not easily lead to infection does not affect the drainage of bile duct branches and so on. We are in the actual operation, then the introduction of drainage tube for external drainage has the following advantages: ① timely observation of bleeding and long-term take appropriate measures; ② If the stent is not fully open, you can continue to play the role of drainage; ③ people can reduce stent induced edema. From the current clinical situation, this operation is successful treatment rate, minimally invasive, safe, easily patients, and can obtain satisfactory drainage effect, and can replace surgery, is worthy of clinical application. Patients in this study be conducted 2I cases further stent drainage of people, 512 Wanggao Ren, et al. Percutaneous biliary stent drainage for malignant obstructive jaundice 2l Cases received satisfactory drainage. The clinical symptoms of patients also received a significant improvement, and create the conditions for further treatment. However, we conducted some follow-up showed that the survival of patients similar to those reported in literature. Recently, there was use of radioactive nickel titanium alloy stent for patients with advanced malignant biliary obstruction reported J,[link widoczny dla zalogowanych], we have people going home after stent combined with high dose rate remote afterloading radiotherapy of clinical research in these treatment methods, which can be extended to better survival of patients and improve the quality of life of patients is still worthy of further examination. [
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