摘要
目的探讨恶性梗阻性黄疸经皮经肝胆管造影术中胰管显影与术后并发胰腺炎的相关性。方法回顾性分析70例接受介入治疗的恶性梗阻性黄疸患者。术中先行经皮经肝胆道穿刺,随后置入引流管行胆道引流或胆道内支架,术后观察病情变化。结果 70例均成穿刺并置入引流管(18例)或置入胆道内支架(52例),成功率为100%。11例术中胰管显影,59例胰管未显影,术后胰腺炎发生率分别为36.36%(4/11)及8.47%(5/59),差异有显著统计学意义(2χ=4.19,P=0.03)。Spearman相关分析显示术中胰管显影与术后并发胰腺炎存在正相关(r=0.30,P=0.01)。结论介入治疗恶性梗阻性黄疸时,术中胰管显影患者术易并发胰腺炎。
Objective To explore the relationship between pancreatic duct visualization during percutaneous transhepatic cholangiodrainage （PTCD） for malignant obstructive jaundice and post-operative pancreatitis. Methods Data of 70 malig- nant obstructive jaundice patients who underwent PTCD or implantation of biliary stent were retrospectively analyzed. The postoperative changes of patients were observed. Results Percutaneous puncture was successfully performed in all the 70 patients. Drainage tube was placed in 18 patients, while biliary stent was implanted in 52 patients, the total success rate was 100 %. Intraoperative visualization of pancreatic duct was observed in 11 patients, 4 （36.36% [4/11]） of them compli- cated postoperative palacreatitis. In 59 patients without intraoperative yisualization of pancreatic duct, postoperative pancre- atitis occurred in 5 cases （8. 47% [5/59]）. There was significant difference between them （X2 = 4.19, P= 0. 03）. Spearman correlation analysis showed that there was correlation between intraoperative visualization of pancreatic duct and postoperative pancreatitis （r=0.30, P=0.01）. Conclusion During interventional therapy of malignant obstructive jaundice, patients with intraoperative visualization of pancreatic duct tend to complicate postoperative pancreatitis.
出处
《中国介入影像与治疗学》
CSCD
2014年第7期411-414,共4页
Chinese Journal of Interventional Imaging and Therapy
关键词
黄疸
梗阻性
胆管造影术
胰管显影
胰腺炎
Jaundice, obstructive
Cholangiography
Pancreatic duct visualization
Pancreatitis
