左肝管定向穿刺胆管造影术的临床应用  

Application of cholangiography of oriented puncture in left hepatic duct

作　　者：陈海生[1] 万恒荣[1] 刘学强[1] 严志登[1] 李建明[1] 

机构地区：[1]广东省中山市中医院普外科,528400

出　　处：《岭南现代临床外科》2007年第4期274-275,共2页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨左肝管定向穿刺胆管造影术的方法的临床应用。方法对我我科自1998年10月至172例阻塞性黄疸作左肝管定向穿刺胆管造影术进行回顾性分析。结果本组172例左肝管定向穿刺造影术,159例穿刺造影成功,成功率92.44%,手术证实无出血、胆漏发生。余13例中转行右侧径路PTC,中转率7.5%,成功11例,成功率84.62%,13例均行手术,术中证实其中10例均有不同程度出血、胆漏。本组总成功率达98.84%,全部无住院死亡病例。结论左肝管定向穿刺胆道造影术可作为PTC的补充方法,能防止发生出血和胆漏的发生,但不能替代传统的右侧径路PTC。Objective To investigate the clinical application of cholangiography of oriented puncture in left hepatic duct. Methods From October 1998 to October 2006,172 cases with obstructive jaundice received cholangiography of oriented puneture in left hepatic duct were analyzed retrospectively. Results Among the 172 cases, 159 cases successful oriented puncture cholangiography in lefthepatic ductand successful rate was 92.44%. No bleeding and biliary leakage were found during operation. Other 13 cases were trangferred to PTC of dextral approach. Transferred rate was 7.5%. Among them,ll cases were successful, the successful rate was 86.61%. 13 cases underwent operation and among them, bleeding of different degree was confirmed in 10 cases during operation. Total successful rate was reached to84.62% in this group. No hospitalization death was found in all cases. Conclusion Cholangiography of oriented puncture in left hepatic duct can make as a supplemental method of FFC. It can prevent occurrence of bleeding and biliary leakage, but it cannot replace traditional PTC of dextral approach.

关 键 词：胆道造影术 穿刺 黄疸 左肝管 

分 类 号：R814.43[医药卫生—影像医学与核医学]