超声引导经皮肝穿刺胆管引流术应用分析  

The applicated analysis of ultrasound-guided pereutaneous transhepatic bile duct drainage

作　　者：赵启伟[1] 吴荣鹏[1] 郭联兵[1] 张玉华[1] 杨福宝[1] 王柳[1] 

机构地区：[1]安康市中心医院彩超室,陕西省安康725000

出　　处：《中国基层医药》2013年第2期208-209,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨超声引导经皮肝胆管穿刺引流术（PTCD）的临床操作技巧，提高手术成功率。方法对60例肿瘤所致的梗阻性黄疸患者行超声引导下经皮经肝胆管穿刺引流术的情况进行回顾性分析。结果60例全部穿刺成功，成功率100％。其中穿刺1针即成功者占88％（53例）。无明显穿刺并发症出现。结论术前充分准备，术中适当操作，可提高超声引导经皮经肝胆管穿经流术的成功率，旦有利于减少穿刺并发症。Objective To investigate the clinical operating skills of the ultrasound-guided percutaneous transhepatic bile duct puncture drainage（PTCD） , and improve the success rate. Methods 60 cases of tumor-induced obstructive jaundice underwent ultrasound-guided percutaneous transhepatic bile duct puncture drainage were retrospectively analyzed and summarized. Results 60 cases were all punctureed successfully, and the success rate was 100%. A puncture needle patients which was successfully accounted for 88% （53 cases）. No obvious puncture complications were found. Conclusion Preoperative fully prepared for surgery the appropriate action can improve the ultrasound- guided percutaneous bile duct through the success rate of bypass, there is helpfal to reduce the puncture complications.

关 键 词：黄疸 阻塞性 穿刺术 超声检查 介入性 

分 类 号：R575[医药卫生—消化系统] R44[医药卫生—内科学]