普通B超探头引导下PTCD治疗恶性阻塞性黄疸的临床体会  

作　　者：郑洪川[1] 邢文静[1] 

机构地区：[1]泸州市人民医院

出　　处：《中国现代药物应用》2011年第15期16-17,共2页Chinese Journal of Modern Drug Application

摘　　要：目的探讨普通B超探头引导下经皮肝穿刺胆道置管引流(PTCD)治疗恶性阻塞性黄疸中的临床体会。方法回顾分析B超探头引导PTCD术治疗恶性肿瘤所致的阻塞性黄疸患者68例,按B超探头不同分为:研究组,普通凸阵B超探头,36例;对照组,专用穿刺探头,32例。比较两组术后的穿刺成功率、置管成功率、血清总胆红素水平、胆汁引流量的差别。结果两组术后的指标未见差别,穿刺成功率(P=0.067)、置管成功率(P=0.075)、血清总胆红素水平(P=0.124)、胆汁引流量(P=0.227)。结论普通B超探头引导下行PTCD术治疗恶性阻塞性黄疸临床疗效与应用专用穿刺探头无差别。Objective To analyse the experience of percutaneous transhepatic cholangiographic drainage（PTCD） under the guidance of ordinary B ultrasonic probe in malignant obstructive jaundice. Methods A total of 40 patients with ultrasound guided PTCD in malignant obstructive jaundice were collected to retrospective analyses and divided into two groups, research group （ordinary convex lens probe application, 22 patients） and control group （ special ultrasonic probe application, 18 patients）, according to B ultrasonic probe. The achievement ratio of venepuncture and tube indwelling, serum total bilirubin level and biliary drainage volumn were compared between two groups. Results The postoperative indexes are no difference between two groups, such as achievement ratio of venepuncture （ P = 0. 067 ）, achievement ratio of tube indwelling （ P = 0. 075 ）, serum total bilirubin level （P = 0. 124）, biliary drainage volumn （P = 0. 227）. Conclusion There were no difference of PTCD under the guidance of ordinary B ultrasonic probe in malignant obstructive jaundice between ordinary B ultrasonic probe application and special B ultrasonic probe application.

关 键 词：普通B超 经皮肝穿刺胆道置管 阻塞性黄疸 恶性肿瘤 

分 类 号：R735[医药卫生—肿瘤]