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目的 探讨肝门部胆管癌的减黄方法。方法 总结 1992年 5月～ 1999年 5月对无法切除的肝门部胆管癌行桥式胆肠内引流术 2 1例 ,其中右肝管十二指肠引流 9例 ,左肝管胃窦引流 5例 ,右、左肝管十二指肠、胃窦引流 7例 ,观察手术前、术后血转氨酶、谷胺酰转肽酶、碱性磷酸酶和总胆红素的变化。结果 手术前后血转氨酶、谷胺酰转肽酶、碱性磷酸酶和血清胆红素均有明显下降 (P<0 .0 1)。结论 桥式胆肠内引流术是一种简单、安全、有效的减黄方法
Objective To investigate the method of yellowing of hilar cholangiocarcinoma. METHODS: From May 1992 to May 1999, 21 patients with unresectable hilar cholangiocarcinoma underwent intraductal biliary drainage, including right hepatic duct and duodenal drainage in 9 patients. Left hepatic duct and gastric antrum drainage In 5 patients, right and left hepatic duct and duodenum and gastric antrum drainage were observed in 7 patients. Changes of blood transaminases, glutamyl transpeptidase, alkaline phosphatase and total bilirubin before and after surgery were observed. Results Blood transaminases, glutamyl transpeptidase, alkaline phosphatase and serum bilirubin all decreased significantly before and after surgery (P<0.01). Conclusion Bridge-type biliary drainage is a simple, safe, and effective yellow-reduction method.