摘要
目的分析B超引导下经皮肝胆管引流术（PTCD）优缺点，为临床治疗胆道梗阻提供参考。方法回顾性分析23例胆道梗阻患者，使用国产PTCD F8-F9套管针，在B超引导下行PTCD，在右腋中线第7—9肋间或剑突下为穿刺点，局麻后皮肤戳孔3mm，置入肝穿针，经肝行胆管穿刺，选择直径在5mm以上且离肝下缘较远的扩张胆管。结果23例经皮肝插管外引流均获得成功，1次穿刺成功17例，2次穿刺成功6例，无1例发生并发症，21例引流获得较好效果。结论PTCD是一种比较安全、简便的诊断和治疗胆道疾病的方法。
Objective To evaluate the advantage and disadvantage of PTCD treatment of obstruction of biliary tract. Methods The therapeutic efficacy of 23 patients with obstruction of biliary tract treated by PTCD were retrospective analyzed. Results All patients were successfully cured by PTCD, 17 cases with single puncture and 6 cases with twice. 21 cases were drained well. No complications existed. Conclusion It is safe and simple to treat obstruction of biliary tract by PTCD.
出处
《局解手术学杂志》
2006年第3期171-172,共2页
Journal of Regional Anatomy and Operative Surgery
关键词
B超
PTCD
胆道梗阻
B ultrasound
PTCD
obstruction of biliary tract
