PTCD在阻塞性黄疸外科手术前准备中的应用价值  

The clinical value of PTCD in preparation treatment before obstructive jaundice surgery

作　　者：张良西[1] 沈忠兵[1] 江峰[1] 蒋大平[2] 夏亚斌[2] 

机构地区：[1]皖南医学院弋矶山医院超声医学科,安徽芜湖241001 [2]皖南医学院弋矶山医院普外科,安徽芜湖241001

出　　处：《右江民族医学院学报》2012年第3期282-284,共3页Journal of Youjiang Medical University for Nationalities

摘　　要：目的探讨实时超声引导下经皮肝胆管穿刺引流术(PTCD)在阻塞性黄疸外科手术前准备治疗中的临床应用价值。方法 82例患者分为介入治疗与保守治疗两组,介入治疗组38例在实时超声引导下行PTCD术,保守治疗组44例采用常规保肝支持治疗。结果介入治疗全部穿刺成功,10天后复查肝功能显示介入治疗组总胆红素(TBI)及直接胆红素(DBI)显著下降,治疗效果明显优于保守治疗组。结论超声引导下PTCD是阻塞性黄疸外科手术前准备的简便、安全、有效的治疗措施。Objective To explore the clinical value of percutaneous transhepatic cholangial drainage （PTCD） guided by real time ultrasound in preparation treatment before surgery for obstructive jaundice. Methods 82 pa tients with obstructive jaundice were divided into group A （38 patients with PTCD） and group B （44 patients with . PTCD guided by real time ultrasound was performed for patients in group A and patientsin group B were given conventional liver support treatment. in single puncture, total bilirubin （TBI） and direct bilirubin Results All cases of group A （DBI） decreased significantly spectively. The results of group A is significantly superior to that of group B. time ultrasound is an effective, safe and simple preparation treatment before Conclusion were successfully treated 10 days after PTCD, re PTCD guided by real obstructive jaundice surgery

关 键 词：超声检查 黄疸 阻塞性 经皮经肝胆管穿刺引流术 

分 类 号：R657.43[医药卫生—外科学] R445.14[医药卫生—临床医学]