[Prognostic factors of clinical curative effect for malignant obstructive jaundice].
OBJECTIVE
To explore prognostic factors for clinical treatment of patients with malignant obstructive jaundice.


METHODS
17 variables from 216 consecutive patients with malignant obstructive jaundice admitted from 1990 to 1997 were included for statistical analysis.


RESULTS
The overall mortality was 19.9% (43/216), and the morbidity 37.5% (81/216). The morbidity of radical operation was higher than that of palliative operation (P < 0.01). There was a highly significant correlation between mortality, morbidity, ASA grade and duration of jaundice (P < 0.01). No correlation was seen between the mortality, type of operation and cause of jaundice. There was a highly significant correlation between the morbidity and the type of operation.


CONCLUSIONS
The choice of operation in patients with malignant obstructive jaundice is radical operation. Early diagnosis and choice of treatment are essential to improving carative effect.
Zou
S
S
Department of Surgery, Tongji Hospital, Tongji Medical University, Wuhan, 430030, China.
Qin
R
R
Wang
J
J
Yang
C
C
Yi
J
J
Qian
J
J
Liu
F
F
Qin
X
X
Dai
Z
Z
Qiu
F
F
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001661:Biliary Tract Neoplasms / Q000150:complications*; D016002:Discriminant Analysis; D005260:Female; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology / Q000401:mortality* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010190:Pancreatic Neoplasms / Q000150:complications*; D011379:Prognosis; D015996:Survival Rate