| 摘要: |
| 目的：探讨老年性肝外胆管梗阻的治疗。方法：85例老年胆管梗阻中良性疾病引起的梗阻为59例，主要是由于胆管结石嵌顿MIRRIZI‘S综合征；恶性肿瘤引起的梗阻为26例，主要为壶腹部周围癌，肝门区肿瘤等。手术分别采取胆囊切除术、胆总管切开取石＋T管引流术、胰十二指肠切除术、腹部探查＋内外引流术以及ERCP下行置管内支撑术后引流和ENBD等。结果：良性疾病引起的梗阻中仅1例术后死于ARDS，恶性肿瘤 引起的梗阻者中有11例术后死于肝肾综合征、ARDS和DIC等。结论；手术仍是老年肝外胆管梗阻的首选方法。老年患者合并其它脏器病变，病情较重者如先行胆管引流，能有效降低病死率及延长生命。 |
| 关键词: 肝外胆管梗阻 治疗 老年人 外科手术 |
| DOI： |
| 修订日期：2002-01-15 |
| 基金项目: |
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| Extrahepatic Billiary Obstructions in Senle Patients Analysis of 85 Cases |
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| Abstract: |
| Objective To discuss the therapy of extrahepatic biliary obstrucfions in senile patients.Methods Of 85 senile patients,59 cases were of obstructions resulting from benign diseases,mainly due to cholelithes incarceration,Mirrizis syndrome and 26 cases fr |
| Key words: bile duct obstruction,extrahepatic,therapy,senile patients |
