昆明医科大学学报2013，Vol.34Issue(4)：89-93,5.
恶性梗阻性黄疸患者PTCD术后胆道感染的临床分析
Clinical Analysis of Bacterial Infection after Percutaneous Transhepatic Cholangio-Drainage for Malignant Biliary Obstruction
摘要
Abstract
Objective To explore the incidence and risk factor of bacterial infection after Percutaneous Transhepatic Cholangio-Drainage,(PTCD) of Malignant Biliary Obstruction.Methods The clinical data of 113 cases after PTCD of Malignant Biliary Obstruction between 2008 and 2011 were collected and analyzed retrospectively.Results 113 patients underwent PTCD.Cholangitis was confirmed in 25 patients.The bile cultures were positive in 52 samples.Among them,the Gram-negative bacilli were 86％,where Gram-positive bacilli were 14％.Most of them were intestinal flora.The risk factors of Bacterial Infection after PTCD for Malignant Biliary Obstruction included the preoperative Child-Pugh score,prolonged biliary drainage catheters indwelling,high level biliary obstruction and restenosis of biliary duct.Conclusions Cholangitis is a common complication of PTCD.The primary cause of Cholangitis is the reflux of intestinal flora.The results suggest that shortenubg the time of preoperative preparation,reducing the reflux of duodenal juice and maintaining the biliary drainage unobstructed would reduce the risk of Cholangitis.关键词
恶性梗阻性黄疸/经皮穿刺肝胆管引流/胆道感染Key words
Malignant biliary obstruction/ Percutaneous transhepatic cholangio-drainage/ Infection of biliary tract分类
医药卫生引用本文复制引用
彭波,黄明,赵玲,吴起杰,周劲梅,谢道斌..恶性梗阻性黄疸患者PTCD术后胆道感染的临床分析[J].昆明医科大学学报,2013,34(4):89-93,5.基金项目
云南省教育厅科学研究基金资助项目(2010Y18S) （2010Y18S）
