超声引导下经皮肝胆管穿刺置管引流术治疗恶性阻塞性黄疸的临床价值  

Clinical value of ultrasound guided percutaneous transhepatic cholangio-hepatic duct drainage in malignancies with obstructive jaundice

作　　者：姚洁洁[1] 陆奉驹[1] 余鸽[1] 周净[1] 

机构地区：[1]上海市静安区中心医院超声波室,200040

出　　处：《上海医学影像》2006年第4期300-301,F0003,共3页Shanghai Medical Imaging

摘　　要：目的探讨在超声引导下经皮肝胆管穿刺置管引流术(PTCD)对恶性阻塞性黄疸的临床价值。方法回顾性分析13例恶性肿瘤所致的阻塞性黄疸患者,在普通彩超仪3．5MHz凸阵探头引导下行PTCD术。结果13例患者共行14次PTCD,其中1例左叶置管后滑出改行右前支穿刺置管,1例因肝内胆管内径小于4mm,穿刺失败后选用经皮肝胆囊穿刺置管,手术成功率92．8%(13／14),术后观察黄疸明显消退。结论在超声引导下行PTCD对不宜手术的恶性阻塞性黄疸病人是较好的选择,它具有灵活、简便、创伤小、疗效确切,值得临床推广应用。Objective To evaluate the clinical value of uhrasound-guided percutaneous transhepatic cholangiographic drainage （PTCD） in malignancies with obstructive jaundice. Methods We analyzed retrospectively 13 patients of malignancies with obstructive jaundice treated with PTCD under the guidance of 3.5MHz convex arraied probe. Results Totally, 14 sessions of PTCD were applied in 13 cases of malignancies with obstructive jaundice. One failure was found in drainage from intrahepatic bile duct in left lobe, and one failure in intrahepatic bile duct less than 4mm in diameter, The successful rate was 92.8%（13/14）. The serum bilirubin level in all patients was remarkably decreased. Conclusion Ultrasound-guided PTCD is a preference management for malignancies with obstructive jaundice. It is valuable to use clinically due to its convenience, less invasive and high successful rate.

关 键 词：超声引导 经皮肝胆管穿刺置管引流 恶性阻塞性黄疸 

分 类 号：R575[医药卫生—消化系统]