Abstract
OBJECTIVE. The aim of the study is to improve the results of treatment of patients with mechanical jaundice. MATERIAL AND METHODS. The results of treatment of 350 patients with mechanical jaundice of benign genesis were analyzed. The causes of this disease in 230 (68.6 %) cases were choledocholithiasis, in 75 (21.4 %) cases were cicatrical narrowing of the large papilla of the duodenum (n = 50), in 45 cases were the formed biliodigestive anastomoses (n=25) and chronic pancreatitis (12.8 %). RESULTS. To eliminate mechanical jaundice, 154 (44 %) patients underwent various percutaneous decompressive echo-controlled interventions under the ultrasound control in terms of their nature and volume. In addition, endoscopic transpapillary interventions were performed in 196 (56 %) observations. various postoperative complications were noted after performing percutaneous decompressive echo-control interventions under ultrasound in 14 (4 %) observations, and after endoscopic transpapillary interventions in 21 (6 %) cases. CONCLUSION. Minimally invasive endoscopic and echo-controlled interventions as the first stage of surgical treatment are effective methods of treatment of patients with mechanical jaundice.
Highlights
Tajik state medical university named after Abuali ibni Sino, Dushanbe, Tajikistan
The aim of the study is to improve the results of treatment of patients with mechanical jaundice
Various postoperative complications were noted after performing percutaneous decompressive echo-control interventions under ultrasound in 14 (4 %) observations, and after endoscopic transpapillary interventions in 21 (6 %) cases
Summary
Методы миниинвазивной декомпрессии желчных путей при механической желтухе Таджикский государственный медицинский университет им. ЦЕЛЬ ИССЛЕДОВАНИЯ – улучшить результаты лечения больных механической желтухой. МАТЕРИАЛ И МЕТОДЫ. Проанализированы результаты лечения 350 больных с механической желтухой доброкачественного генеза. Для ликвидации механической желтухи 154 (44 %) больным проводили различные по характеру и объму чрескожные декомпрессивные эхоконтролируемые вмешательства под УЗ-контролем. В 196 (56 %) наблюдениях выполняли эндоскопические чрес папиллярные вмешательства. После выполнения чрескожных декомпрессивных эхоконтролируемых вмешательств под УЗ-контролем в 14 (4 %) наблюдениях, а после эндоскопических чреспапиллярных вмешательств в 21 (6 %) случае отмечали различные послеоперационные осложнения. Миниинвазивные эндоскопические и эхоконтролируемые вмешательства как первый этап хирургического лечения являются эффективными методами лечения больных с механической желтухой. Ключевые слова: механическая желтуха, желчные протоки, миниинвазивные декомпрессивные вмешательства. Tajik state medical university named after Abuali ibni Sino, Dushanbe, Tajikistan
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