摘要
目的 评价超声引导下经皮经肝穿刺胆管置管引流 (UPTBD)对梗阻性黄疸病人的治疗价值。方法 对 1995年 1月至 2 0 0 2年 7月期间的 4 17例梗阻性黄疸病人进行 4 97次UPTBD治疗 ,并回顾总结他们的临床资料。结果 接受PTBD治疗共有 4 17例 (5 1例病人进行了两个胆管枝的PTBD) ,穿刺成功率达 93.2 % (4 36 / 4 6 8) ,32例首次穿刺失败的病人有 2 9例进行了第二次穿刺置管 ,全部成功。发生胆汁漏 /胆汁性腹膜炎 9例 ,胆道出血 8例 ,感染性休克 1例 ,无腹腔出血、后腹膜血肿、气胸等其他并发症。对 6 4例置管引流患者进行肝功能检测 ,与穿刺前相比 ,引流后 1周和 3周检测病人血清胆红素、转氨酶均显著下降。结论 UPTBD是一项姑息性治疗梗阻性黄疸的快捷、安全。
Objective [WT5”BZ]To evaluate the clinical value of the US-guided to PTBD in patients with obstructive jaundice.Methods PTBD were operated under the US-guide in 417 patients with obstructive jaundice from Jan.1995 to Jul.2002.Their clinical data were summarized.Results The successive rate of first puncture is very high,up to 93.2%.Second puncture was successfully operated in all of the 29 patients out of 32 patients with failure in first puncture.Complications were found in 18 patients:9 patients with bile peritonitis,8 with hemobilia,1 with infectious shock.The hepatic function of 64 patients after drainage for one week and three weeks was better than that before drainage.Conclusion UPTBD is a very ease,very safe and very useful method in treating obstructive jaundice.Ultrasonography should be the first choice to guide PTBD operation.
出处
《西南军医》
2004年第5期1-3,共3页
Journal of Military Surgeon in Southwest China
关键词
病人
梗阻性黄疸
治疗
超声引导
肝胆管
置管引流
obstructive jaundice ultrasound-guide percutaneous transhepatic bile duct drainage
