摘要
目的探讨超声下经皮经肝胆管穿刺置管引流术在梗阻性黄疸的临床应用价值。方法应用彩色多普勒超声引导对186例梗阻性黄疸患者进行经皮经肝胆管穿刺置管引流术,并将治疗结果进行分析。结果186例梗阻性黄疸患者总成功率为97.3%(181/186),一针穿刺成功率达72.0%(134/186)。穿刺胆管直径范围为4～11mm。平均直径为5.3mm,术后胆汁引流量平均为420ml/d,带管时间为7～97d,平均为18.3d,并发症发生率为0.5%。结论彩色多普勒超声引导下的经皮经肝胆管引流术穿刺置管简便、安全、成功率高的优点,能够使患者得到持续性胆汁引流的机会,因此将成为治疗梗阻性黄疸的重要方法。
Objective To determine the clinical value of ultrasound-guided percutaneous transhepatie bile drainage （UPTBD） in treatment of obstructive jaundice. Methods UPTBD was performed in 186 patients with obstructive jaundice and tube was inserted to the biliary duct in all patients. Results Among the 186 patients , the overall success rate was 93.7% （ 181/186）, and the success rate of single centesis was 72.0% （134/186）. The diameter of biliary duct ranged from 4mm to llmm, the mean diameter was 5.3 mm, the mean amount of daily bile drainage was 420 ml. The time of duct insertion ranged from 9 to 97day, with a mean of 18.3 day, and the rate of complication was 0.5 % （4/186）. Conclusions UPTBD is an effective alternative for bile duct drainage, with advantages of minimal invasion, simple performance, little pain, and a high success rate. Hence it is an important method for the treatment of biliary obstructive diseases.
出处
《中华普外科手术学杂志（电子版）》
2010年第1期45-46,共2页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
关键词
经皮经肝胆管引流术
胆道阻塞性疾病
Pereutaneous transhepatic bile drainage
Biliary obstructive diseases
