经皮肝穿胆道造影46例远期效果随访分析报告  

Analysis of long term effect of percutaneous transhepatic cholangiography (PTC) on 46 patients

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作  者:辜天慧[1] 

机构地区:[1]巴中市中心医院普外科,四川巴中636000

出  处:《泸州医学院学报》2013年第2期177-179,共3页Journal of Luzhou Medical College

摘  要:目的:为了解经皮肝穿胆道造影(PTC)及经皮肝穿胆道造影置管引流(PTCD)术后远期效果,为临床选择应用提供参考。方法:对我院46例PTC及PTCD病例资料随访分析。结果:男23例,女23例,年龄23~78岁,肝功能异常27例,正常19例。穿刺成功次数1~5次,平均1.67±1.08次,1针刺中率为65.22%。术后诊断为肝胆管壶腹周围癌19例,放弃手术治疗3例,转院1例,术后生存2月2例,2年8例,5年4例,7年1例;其余27例诊断为结石均痊愈生活良好。结论:PTC仍是基层医院全面清楚了解胆管树内病变手段之一。Objective: To study the long term effect of PTC and PTC and indwelling drainage (PTCD). Methods: 46 cases of PTC and PTCD were reviewed and followed-up retrospectively. Results: The patients were 23 men and 23 women, aged 23 to 78 years and 27 patients with abnormal liver function while 19 with normal. The paracentesis succeeded after 1-5 times of puncture,arerage 1.67±1.08 times.The rate of successful puncture at the first try was 65.22%. Postoperative diagnosis: 19 cases diagnosed with bile duct periampullary cancer, 3 abandoned surgical treatment and 1 transferred to another hospital.prognosis: 2 patients survived 2 months, 8 cases 2 years, 4 cases 5 years, and 1 case 7 years, 27 patients diagnosed with gallstones were all cured and lived well. Conclusion: PTC is still one of the most economic means to comprehensively examine the lesions within the biliary tree in basic hosptals.

关 键 词:胆结石 胆管癌 经皮肝穿胆道造影 

分 类 号:R445[医药卫生—影像医学与核医学]

 

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