International Journal of Radiation Research
نشریه پرتو پژوه
Int J Radiat Res
Basic Sciences
http://ijrr.com
79
journal79
2322-3243
2345-4229
10.61186/ijrr
en
jalali
1400
7
1
gregorian
2021
10
1
19
4
online
1
fulltext
en
Efficacy and complications of different drainage tube fixing methods on percutaneous biliary drainage
Radiation Biology
Radiation Biology
تحقيق بديع
Original Research
<div style="text-align: justify;">Background: Percutaneous biliary drainage (PTBD) is a palliative treatment for malignant biliary obstruction. The present study adopted different methods of fixing the drainage tube, aiming to evaluate the efficacy and complications for patients. Materials and Methods: Total 68 patients with malignant biliary obstruction, enrolled from 2015 May to 2018 March, were randomly divided into two groups to perform PTBD. 34 patients in group A were fixed the drainage tube by using the traditional way and 34 patients in group B by using an ameliorated approach. The clinical success rate, level of direct/indirect bilirubin, complications and quality of life of patients were recorded. Results: PTBD was successfully performed on all 68 patients. The direct and indirect bilirubin levels of all patients were significantly decreased at 1-week and 1-month post-surgery (P<0.001). Compared with group A, the level of direct bilirubin in group B decreased more significantly at 1-month after the operation (P<0.05). The quality of life of patients was improved in the two groups at 1-month after the operation (P<0.001). In addition, the rate of early postoperative complications was 38.24% in group B, which was not significantly different from the rate in group A (41.18%) (P>0.05). However, the complication rate of late postoperative in group B (6/34) was significantly less than complication rate in group A (16/34) (P<0.05). Conclusion: PTBD is an effective method of treating malignant biliary stricture. The ameliorated fixing method for the drainage tube in PTBD effectively decreases the incidence of late complications, further improving patient quality of life.</div>
percutaneous biliary drainage, malignant biliary obstruction, complications
947
953
http://ijrr.com/browse.php?a_code=A-10-1-886&slc_lang=en&sid=1
Z.H.
Peng
7900319475328460019757
7900319475328460019757
No
Department of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, P.R. China
W.Y.
Shi
7900319475328460019758
7900319475328460019758
No
Department of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, P.R. China
Z.
Xiong
7900319475328460019759
7900319475328460019759
No
Department of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, P.R. China
B.S.
Zhao
7900319475328460019760
7900319475328460019760
No
Department of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, P.R. China
D.Z.
Zhang
7900319475328460019761
7900319475328460019761
No
Department of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, P.R. China
M.Q.
Wang
7900319475328460019762
7900319475328460019762
No
Department of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, P.R. China
W.
Song
7900319475328460019763
7900319475328460019763
No
Department of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, P.R. China
K.
Wang
7900319475328460019764
7900319475328460019764
No
Department of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, P.R. China
B.
Liu
Liubin_88vip@163.com
7900319475328460019765
7900319475328460019765
Yes
Department of Radiology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, P.R. China