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清热利胆片联合胆道支架治疗恶性梗阻性黄疸的疗效分析
马少军,张秀军,陆伟,朱恒豪,苏卫国
天津市南开医院天津 300100
摘要:
目的:研究清热利胆片联合胆道金属支架治疗恶性梗阻性黄疸的临床疗效。方法:回顾性选取2019年10月—2023年10月在我院经病理或影像学明确诊断的中晚期恶性肿瘤合并梗阻性黄疸患者110例,按治疗方式不同分为治疗组(清热利胆片+胆道金属支架植入)59例,对照组(胆道金属支架植入)51例。比较两组术后1、3、6、9个月的胆红素水平及胆道通畅率情况。结果:术前及植入胆道支架术后1、3个月,两组胆红素水平比较无统计学差异。术后6、9个月,治疗组胆红素水平低于对照组,差异有统计学意义(P <0.05)。术后1、3个月,两组胆道通畅率无统计学差异。术后6、9个月,治疗组通畅率均高于对照组,差异有统计学意义(P <0.05)。结论:清热利胆片联合胆道金属支架治疗恶性梗阻性黄疸能显著提高植入胆道支架术后通畅率,维持更长的通畅时间。清热利胆片可以作为胆道金属支架植入术后患者的辅助用药,值得临床推广应用。
关键词:  清热利胆片  恶性梗阻性黄疸  胆道支架  通畅率
DOI:10.3969/j.issn.1007-6948.2025.04.016
投稿时间:2024-07-15
基金项目:
Effect of Qingre Lidan tablets combined with biliary stent in the treatment of malignant obstructive jaundice
MA Shao-jun,ZHANG Xiu-jun,LU Wei
Department of Vascular Surgery, Nankai Hospital in Tianjin, Tianjin300100,China
Abstract:
Objective To investigate the clinical efficacy of Qingre Lidan tablets combined with biliary metal stents in the treatment of malignant obstructive jaundice. Methods A retrospective study was conducted on 110 patients with advanced malignant tumors complicated with obstructive jaundice diagnosed by pathology or imaging in our hospital from October 2019 to October 2023. They were divided into a treatment group (59 cases treated with Qingre Lidan tablets+biliary metal stent implantation) and a control group (51 cases treated with biliary metal stent implantation) according to different treatment methods. Compare the bilirubin levels and biliary patency rate between two groups at 1, 3, 6, and 9 months after surgery. Results There was no statistically significant difference in bilirubin levels between the two groups before surgery and 1 and 3 months after biliary stent implantation. At 6 and 9 months after surgery, the bilirubin levels in the treatment group were lower than those in the control group, and the difference was statistically significant (P <0.05). There was no significant difference in biliary patency rate between the two groups at 1 and 3 months after surgery. At 6 and 9 months after surgery, the patency rate of the treatment group was higher than that of the control group, and the difference was statistically significant (P <0.05). Conclusion The combination of Qingre Lidan tablets and biliary metal stents can significantly improve the postoperative patency rate and maintain longer patency time in the treatment of malignant obstructive jaundice after biliary stent implantation. Qingre Lidan tablets can be used as an adjuvant medication for patients after biliary metal stent surgery and are worthy of clinical promotion and application.
Key words:  Qingre Lidan tablets  malignant obstructive jaundice  biliary stent  patency rate

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