【摘要】 目的　比较经内镜胆管引流术对梗阻性黄疸术前肝功能恢复的疗效。方法　腹壶周围癌、胰头癌共 76例 ,引流组 3 6例 ,其中行内置管引流 2 9例 ,鼻胆管引流 7例 ;对照组 40例 ,未做任何方式的胆管减压引流。结果　入院后第 14 d丙氨酸氨基转移酶 (ALT)、凝血酶原时间 (PT)和血清总胆红素 (TBIL)水平下降幅度分别为 :引流组 71.46± 11.81% ,2 3 .0 9±9.5 6% ,81.5 8± 7.5 0 % ;对照组 48.87± 19.3 2 % ,18.3 7± 9.3 1% ,5 .88± 3 .65 %。结论　经内镜胆管引流术能迅速改善梗阻性黄疸病的肝功能 ,为后续治疗创造良好的条件更多还原

【Abstract】 Objective To evaluated the endoscopic biliary drainage on liver function improvement in the patients with malignant biliary obstruction.Methods This study included 76 patients with malignant biliary obstruction:36(drainage group) with plastic biliary stenting or endoscopic nasobiliary drainage,and 40 (control)without any kind of bile duct drainage.Results At 14 days after admission,the decreased percentages from the original levels of ALT,PT,and TBIL were:71.46±11.81%,23.09±9.56%,81.58±7.50% in drainage group;48.87±19.23%,18.37±9.31%,5.88±3.65% in control,respectively.Conclusion The treatment with endoscopic biliary drainage improved rapidly the damaged liver fuction in the patients with malignant biliary obstruction.更多还原