经皮肝穿胆道内外引流治疗梗阻性黄疸  

PTCD for treatment of biliary obstruction

作　　者：王明全[1] 王爱红[2] 贠秀俐[1] 贾军琪[1] 宋有惠[1] 

机构地区：[1]延安大学附属医院介入科,陕西延安716000 [2]延安大学医学院生物化学教研室,陕西延安716000

出　　处：《延安大学学报（医学科学版）》2008年第4期54-55,共2页Journal of Yan'an University:Medical Science Edition

摘　　要：目的评价经皮肝穿胆道内外引流术(PTCD)治疗梗阻性黄疸的临床价值。方法对30例梗阻性黄疸患者,进行了经皮肝穿胆道内外引流术治疗,其中胆管癌7例,胰头癌12例,胆囊癌2例,肝门淋巴结转移癌7例;胆总管结石1例,肝血管瘤介入术后1例。内引流8例,外引流21例。结果PTCD成功率为96.7%。血清总胆红素及转氨酶均明显下降,临床症状明显改善。无严重并发症发生。结论PTCD是治疗梗阻性黄疸有效的和安全的方法,特别是手术不能切除的恶性梗阻性黄疸。Objective：To evaluate the treatment of percutaneous transhepatic cholangial drainage （PTCD） in biliary disease. Methods 30 cases with obstructive jaundice underwent PTCD. PTCD was performed under DSA guidance. The internal drainage was done in 8 cases and the external drainage in 21. Results 26 eases were successful performed. After PTCD, the total serum bilirubin level was decreased obviously. Clinical symptoms, such as jaundice and pruritus skin were relieved gradually. No sever complications were observed. Conclusion PTCD for obstructive jaundice is highly effective and relatively simple in the operation. It is an ideal noninvasive treatment with high success rate and safety.

关 键 词：介入性 放射学 梗阻性黄疸 胆道引流 

分 类 号：R657.43[医药卫生—外科学]