PTCD在恶性梗阻性黄疸治疗中的临床应用  

The Clinical Application of Percutaneous Transhepatic Cholangiography and Drainage in Treatment of Malignant Obstructive Jaundice

作　　者：谭晓明[1] 蔡越飞[1] 李淑荣[2] 左淑杰[2] 

机构地区：[1]中山大学附属东华医院,广东东莞523110 [2]长春市中心医院,吉林长春130051

出　　处：《实用医技杂志》2006年第19期3348-3351,共4页Journal of Practical Medical Techniques

摘　　要：目的探讨经皮经肝穿刺胆道造影及引流术(PTCD)在恶性梗阻性黄疸治疗中的临床应用价值。方法对22例(男15例,女7例)行PTCD治疗的恶性梗阻性黄疸患者的临床资料进行回顾性分析,其中胆管癌9例、胆囊癌4例、肝癌及肝转移癌6例、胰头癌3例。结果21例患者成功实施PTCD,其中3例行胆道内支架置入,1例患者PTCD未成功。全组技术成功率95.5%,术后患者黄疸、皮肤瘙痒等临床症状明显缓解,并发症有胆道少量出血、发热、肝区疼痛,经对症治疗后症状消失,未见严重的并发症发生。结论PTCD姑息治疗恶性梗阻性黄疸是一种安全、有效的介入治疗方法。Objective To explore the clinical value of percutanous transhepatic cholangiography and drainage in treatment of malignant obstructive jandice. Methods 22 cases （15 male, 7 femal ）with malignant obstructive jaundice were treated with PTCD, including 9 cases with biliary carcinoma, 4 cases with carcinoma of gallbladder, 6 cases with heptic cancer and 3 cases with pancreatic cancer, The clinical date were retrospectively analyzed. Results The PTCD was succeed in 21 cases ,including 3 cases with insertion of biliary stent. The total technical succes rate was 95.5%. Clinical symptoms such as jaundice and pruritus skin were relieved gradually after interventional therapy. The complication of PTCD had a little biliary bleeding and fever. Their symptoms subsided after treatment. No severe complication were observed. Conclusion PTCD is an affective safe interventional therapy to the patients with malignant obstructive jaundice.

关 键 词：经皮经肝穿刺胆道造影及引流术 梗阻性黄疸 介入治疗 

分 类 号：R735[医药卫生—肿瘤]