摘要
目的比较两种切面超声引导经皮经肝胆道置管引流术(PTCD)的疗效,探讨如何提高在超声引导下一步快速法PTCD的成功率。方法将158例病理确诊的梗阻性黄疸患者,分别在靶胆管长轴切面和靶胆管斜短轴切面,超声引导下采用套管针一步快速法行PTCD,记录超声引导切面、穿刺成功率、并发症。结果 69例梗阻性黄疸患者行靶胆管长轴切面超声引导PTCD,置管成功61例,并发症8例;89例梗阻性黄疸患者行靶胆管斜短轴切面超声引导PTCD,置管成功87例,并发症2例。两者对靶胆管置管成功率分别为88.4%(61/69)、97.8%(87/89),两者之间的差异有统计学意义(P<0.05)。结论对梗阻性胆管患者采用超声引导下一步快速置管法,靶胆管斜短轴切面超声引导PTCD优于靶胆管长轴切面超声引导PTCD,值得运用推广。
Objective To explore how to improve success rate for the rapid method of percutaneous transhepatic catheter drainage （PTCD） under the ultrasound by comparing two ultrasound guided percutaneous biliary drainage catheters. Methods A total of 158 patients with pathologically diagnosed obstructive jaundice were assigned. The PTCD was implemented in the two sections （long axis section of the target bile duct and oblique short axis section of the arget bile duct） of rapid method using a step trocar line under ultrasound guidance, respectively. The section,puncture success rate and complication were recorded and compared. Results The 61 of 69 cases were successful for long-axis bile duct by ultrasound guidance. Eight cases were found with complications at the same time. The 87 of 89 cases were successful for oblique short-axis view of the target bile duct under ultrasound guidance, 2 cases withcomplications. The success rate of the one group was 88.4% （61/69） and the other was 97.8% （87/89） with significant difference （P0.05）.Conclusion The success rate for oblique short-axis view of the target bile duct by ultrasound guidance was superior to one of the long-axis bile ducts by ultrasound guidance via a step trocar line under ultrasound guidance for the patients with obstructive jaundice.
出处
《中华医学超声杂志（电子版）》
2011年第7期30-32,共3页
Chinese Journal of Medical Ultrasound(Electronic Edition)
关键词
超声检查
经皮经肝胆道置管引流术
Ultrasonography
Percutaneous transhepatic catheter drainage
