经皮经肝胆管引流术的临床应用价值  

Clinical value of percutaneous transhepatic cholangiography and drainage

作　　者：汪云祥[1] 周良[1] 冯玉明[1] 

机构地区：[1]南京医科大学第二附属医院放射科,江苏省210011

出　　处：《实用诊断与治疗杂志》2004年第6期493-494,共2页Journal of Practical Diagnosis and Therapy

摘　　要：目的 :探讨经皮经肝胆管引流术作为快速缓解胆管压力的有效方法、临床应用的实际意义及对预后的影响。方法 :我们对 2 2例晚期消化道肿瘤重度阻塞性黄疸患者实施了胆管引流术 ,并在其中 9例患者胆道内放置了支架。结果 :全部患者术后黄疸明显减轻 ,15人黄疸完全消失 ,无一例出现气胸、出血、胆汁外漏等并发症。结论 :经皮经肝胆管引流术是一种安全、快捷、经济的缓解胆道梗阻。Objective To observe the value of percutaneous transhepatic cholangiography and drainage (PTCD) in patients with biliary obstruction. Methods PTCD was performed in 22 operable patients with severe biliary obstruction caused by tumors in digestive system and stent was placed in 9 of them.Results Jaundice was alleviated in all cases and completely disappeared in 15 of them. No pneumothorax, bleeding or biliary leakage was observed.Conclusion PTCD seems to be a safe, inexpensive and effective way to relieve biliary obstruction and improve life quality in such terminal cases.

关 键 词：经皮经肝胆管引流 消化道肿瘤 阻塞性黄疸 

分 类 号：R735[医药卫生—肿瘤]