床边B超引导经皮穿刺置管引流在肝胆胰外科危急症中的临床应用(附30例报告)  

Clinical Application of Bedside B-mode Ultrasonography Guided Percutaneous Catheter Drainage for Critical Diseases of Hepatobiliary Surgery: a Report of 30 Cases

作　　者：徐权斌[1] 叶永强[2] 王戈[2] 王磊[2] 孙文德[2] 郭祥峰[2] 刘继鹏[2] 

机构地区：[1]山东省菏泽市立医院肝胆外科,菏泽274031 [2]济宁医学院附属湖西医院肝胆外科,单县274300

出　　处：《中国微创外科杂志》2014年第1期71-73,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨床边B超引导下经皮穿刺置管引流术在肝胆胰外科危急症中的临床应用价值。方法回顾性分析我院2008年4月-2012年12月30例临床病例诊治资料，其中急性化脓性胆囊炎5例，恶性梗阻性黄疸14例，急性重症胰腺炎5例，术后胰漏、胆漏等并发症处理6例。结果30例全部成功置管，其中经胆管穿刺置管引流（percutaneous transhepatic biliary drainage，PTBD）13例，经胆囊穿刺置管引流（percutaneous transhepatic gallbladder drainage，PTGD）7例，置中心静脉双腔管10例。无死亡，2例PTBD管因导管滑脱行二次置管成功。结论床边B超引导下经皮穿刺置管引流具有安全、创伤小、操作简便等优点，在肝胆胰外科危急症临床处理中有较大的临床应用价值。Objective To investigate the clinical value of bedside B-mode ultrasonography guided percutaneous catheter drainage in the treatment of critical diseases of hepatobiliary surgery. Methods A retrospective analysis was conducted on 30 cases undergoing treatment in our hospital from April 2008 to December 2012, including 5 cases of acute suppurative cholecystitis, 14 cases of malignant obstructive jaundice, 5 cases of severe acute pancreatitis and 6 cases of postoperative pancreatic leakage, bile leakage and other complications. Results Catheterization in all the 30 cases was successful, including 13 cases of percutaneous transhepatic biliary drainage （PTBD） , 7 cases of percutaneous transhepatic gallbladder drainage （PTGD） and 10 eases of central venous double- lumen catheter. No death occurred. Two eases received a second catheterization due to catheter dislocation. Conclusions Bedside B-mode uhrasonography guided percutaneous catheter drainage is safe, minimally invasive and easy to perform. It plays an important role in the treatment of critical diseases in hepatobiliary surgery.

关 键 词：床边B超 肝胆疾病 急腹症 引流 

分 类 号：R657.4[医药卫生—外科学]