Efficacy of percutaneous biliary stent implantation in the treatment of malignant obstructive jaundice

Abstract

Objective To analyze the clinical effects of percutaneous biliary stent implantation in the treatment of patients with malignant obstructive jaundice. Methods Fifty-three patients with malignant obstructive jaundice admitted to the Second Hospital of Shanxi Medical University from January 2013 to December 2017 were selected and divided into observation group and control group according to the operation methods. Thirty-three patients in observation group were treated by percutaneous biliary stent implantation, and 20 patients in control group underwent percutaneous transhepatic bile duct drainage. The surgical outcomes of the two groups were compared. Results There was no significant difference in biochemical parameters between the two groups before surgery (P>0.05). After operation, the decrease of serum total bilirubin, direct bilirubin, alkaline phosphatase and glutamyltransferase in observation group was better than that in control group (P<0.05). The postoperative complication rate of observation group was 6.06%, which was significantly lower than 30.00% of control group (P<0.05). The comfort scores of abdominal pain, abdominal distension, nausea and vomiting, loss of appetite and discomfort in observation group were lower than those in control group (P<0.05). Conclusions Percutaneous biliary stent implantation in the treatment of malignant obstructive jaundice is helpful to improving the therapeutic effects of patients, and can effectively improve the level of biochemical indicators. The incidence of complications is low and the level of comfort is high. It is worth popularizing in clinical application. Key words: Malignant obstructive jaundice; Biliary tract; Stent implantation; Effect