PTCD技术在急性重症胆管炎治疗中的应用  

Application of PTCD technology in the treatment of acute severe cholangitis

作　　者：杨志坚[1] 文明波[1] 姚红兵[1] 黄高[1] 

机构地区：[1]解放军第一八一医院肝胆外科,广西桂林541001

出　　处：《腹部外科》2013年第1期38-40,共3页Journal of Abdominal Surgery

摘　　要：目的探讨经皮肝穿刺胆管引流术（PTCD）在急性重症胆管炎治疗中应用价值。方法回顾性分析45例急性重症胆管炎患者围手术期处理的资料。结果45例原发病均为胆道结石，经过内科保守治疗后（〈12h）无效者行急诊开腹手术18例；行PTCD胆道减压27例，27例先行PTCD，待病情稳定后再行手术治疗，无死亡，术后感染率14．8％，结石残留率22．2％；18例行急诊手术，病死率27．8％，术后感染率50．0％，结石残留率38．9％。经检验，二者以上指标间差异均有统计学意义（P〈0．05）。结论PTCD技术是急性重症胆管炎一种有效的治疗手段，可广泛应用于临床。Objective To investigate the application of PTCD in the treatment of acute severe cholangitis （ACST）. Methods The perioperative data of 45 cases of ACST were retrospectively analyzed. Results Twenty-seven cases received percutaneous transhepatic bile drainage, and surgical operation was done after stable condition. The mortality rate was 0%, the postoperative infection rate was 14. 8%, and the residual stone rate was 22. 2%. In 18 cases undergoing ernergency surgery, the mortality rate was 27. 8%, the postoperative infection rate was 50. 0%, and the residual stone rate was 38. 9%. Conclusion PTCD technology is an effective treatment for ACST, and can be widely used clinically.

关 键 词：急性重症胆管炎 经皮肝穿刺胆汁外引流术 

分 类 号：R657.45[医药卫生—外科学]