摘要
目的分析超声引导下经皮肝内胆管穿刺置管引流（PTBD）治疗梗阻性黄疸的临床应用价值。方法研究对象为解放军总医院单一术者2015年7月至2017年7月的479例梗阻性黄疸患者，术前血清总胆红素为92～614μmol／L。选择置管的靶胆管直径为2～16mm。使用超声引导下PTBD。结果479例患者中，穿刺成功率为100％，黄疸减退率99．6％。结论超声引导下的PTBD是对多种原因所致的梗阻黄疸患者术前减轻黄疸及姑息性治疗的有效方法，值得深入探讨。
Objective To analyze the clinical value of percutaneous transhepatic biliary drainage （PTBD） in the treatment of obstructive jaundice. Methods A total of 479 patients with obstructive jaun- dice were enrolled in PLA General Hospital from July 2015 to July 2017 underwent percutaneous transhepatic biliary drainage, the preoperative serum total bilirubin was 92 -614 μmol/L, the target bile duct was 2 - 16 mm in diameter. The PTBD was ultrasound guided. Results All of the 479 patients underwent PTBD suc- cessfully, and 99.6% showed evident alleviation of jaundice postoperatively. Conclusions Ultrasound- guided PTBD is an effective method for reducing jaundice for preoperative or palliative treatment in patients with obstructive jaundice. The method of operation is worthy of further study.
出处
《中华肝胆外科杂志》
CAS
CSCD
北大核心
2018年第2期83-86,共4页
Chinese Journal of Hepatobiliary Surgery
关键词
超声引导
梗阻性黄疸
胆管引流
经皮经肝胆管穿刺置管引流
Uhrasound guided
Obstructive jaundice
Biliary drainage
Percutaneous trans-hepatic biliary drainage （PTBD）
