经皮肝穿胆道造影术靶胆管定位穿刺方法的临床应用  

Clinical application of percutaneous transhepatic cholangiography with localization puncture for targeted biliary duct

作　　者：张耀纲[1] 袁海[1] 张光伟[1] 张桂珍[1] 

机构地区：[1]安徽省蚌埠市第三人民医院放射科,蚌埠233000

出　　处：《临床医学》2010年第2期25-26,共2页Clinical Medicine

摘　　要：目的测定肝内扩张胆管位置,设计恰当的穿刺途径,提高经皮肝穿胆道造影术(PTC)成功率。方法对9例恶性阻塞性黄疸患者采用经皮肝穿靶胆管定位方法穿刺。结果穿刺次数为l～4次,共17次,每例平均1.9次,成功率为52.9%。结论经皮肝穿胆道造影术靶胆管定位穿刺可提高穿刺成功率,减少肝脏损伤等并发症。Objective To determine the dilated intrahepatic bile duct,design correct puncture route and enhance the success rate in percutaneous transhepatic cholangiography（PTC）. Methods Nine patients with malignant obstructive jaundice were assigned with percutancous transhepatic biliary target positioning puncture method. Results The number of puncture was 1 -4（average 1. 9）for each individual with totally 17 times and successful rate 52. 9%. Conclusion Percutaneous transhepatic cholan-giography with localization puncture for targeted biliary duct provides the promotion of successful puncture rate decrease hepatic damage etc.

关 键 词：经皮肝穿胆道造影术 靶胆管 定位 穿刺 

分 类 号：R575[医药卫生—消化系统]