摘要
目的探讨超声引导经皮肝穿刺胆管引流术(PTCD)在恶性梗阻性黄疸患者治疗中的应用价值。方法经超声引导对25例恶性梗阻性黄疸患者行PTCD,观察手术疗效及并发症发生情况。结果25例患者均成功穿刺引流,一次穿刺成功率为92.00%(23/25),术后3～6日25例患者黄疸均减退。出院时血清总胆红素和肝内胆管超声测值均较术前降低(P<0.05)。术后并发症主要有胆汁外渗1例,引流出少量血性胆汁1例。结论超声引导下PTCD具有操作简便、疗效确切、安全性高等优点,可作为恶性梗阻性黄疸术前减黄及姑息性治疗的首选方法。
Objective To approach the clinical value of ultrasound-guided percutaneous transhepatic cholangiographic drainage（PTCD） in the treatment of malignant obstructive jaundice.Methods Twenty-five patients with malignant obstructive jaundice were treated with ultrasound-guided PTCD,and the therapeutic effect and complications were observed.Results All the patients were successfully punctured,and the successful rate of single puncture was 92.00%（23/25）.Jaundice of all the patients decreased 3 to 6 days after PTCD.The serum total bilirubin and the inner diameter of intrahepatic ducts decreased after PTCD.The complications included bile exudation and slight bloody bile（either 1 patient）.Conclusion Ultrasound-guided PTCD is a simple,safe and effective way to reduce jaundice,and can be regarded as the first choice in the treatment of malignant obstructive jaundice.
出处
《中国介入影像与治疗学》
CSCD
2010年第2期104-106,共3页
Chinese Journal of Interventional Imaging and Therapy
关键词
引流术
黄疸
梗阻性
超声引导
Drainage
Jaundice
obstructive
Ultrasound-guided
