中国普通外科杂志2015，Vol.24Issue(2)：185-189,5.DOI:10.3978/j.issn.1005-6947.2015.02.006
超声定位联合X线引导下经皮经肝穿刺胆管引流术治疗恶性梗阻性黄疸
Percutaneous transhepatic cholangiodrainage under ultrasonic and X-ray guidance for malignant obstructive jaundice
摘要
Abstract
Objective: To assess the clinical efficacy of percutaneous transhepatic cholangiodrainage (PTCD) under ultrasonic and X-ray guidance in management of malignant obstructive jaundice. <br> Methods: The data of 46 patients with malignant obstructive jaundice undergoing PTCD under combined ultrasonic and X-ray guidance were retrospectively analyzed. <br> Results: PTCD was successfully performed in 44 patients (95.65%), of whom, puncture and catheter introduction was completed in one session in 41 cases (93.2%), and in two sessions in 3 cases (6.81%). hTe daily postoperative drainage volume was 100-800 mL, and from the ifrst day atfer PTCD, the jaundice of the patients began to show regression in varying degrees and their symptoms were gradually alleviated. At one week atfer PTCD, the serum levels of total bilirubin, direct bilirubin, alanine transaminase, aspartate transaminase and alkaline phosphatase of the patients were all decreased significantly compared with their preoperative values (allP<0.05). Biliary tract infection occurred in 2 cases and slight bleeding of the biliary tract occurred in 3 cases atfer PTCD, which were resolved by symptomatic treatments, and no other serious complications occurred. <br> Conclusion: PTCD under combined ultrasonic and X-ray guidance has the advantages of being safe and convenient with few complications, and is an effective treatment method for malignant obstructive jaundice.关键词
黄疸,梗阻性/引流术/外科手术,计算机辅助Key words
Jaundice, Obstructive/Drainage/Surgery, Computer-Assisted分类
医药卫生引用本文复制引用
李春雷,邹盛海,易广新,蒲小平..超声定位联合X线引导下经皮经肝穿刺胆管引流术治疗恶性梗阻性黄疸[J].中国普通外科杂志,2015,24(2):185-189,5.基金项目
湖南省科学技术厅科技计划资助项目(2014SK3071). （2014SK3071）
