PTCD治疗阻塞性黄疸438例的临床疗效观察  

The Clinical Curative Effect of PTCD in Treating 438 Cases of Obstructive Jaundice

作　　者：刘训强 陈宦君 王家平[2] 田民 李迎春[2] 童玉云[2] 

机构地区：[1]昆明市延安医院普外二科介入科,云南昆明650051 [2]昆明医科大学第二附属医院介入室,云南昆明650101

出　　处：《昆明医科大学学报》2014年第6期51-54,共4页Journal of Kunming Medical University

基　　金：云南省自然科学基金资助项目(2008CD049)

摘　　要：目的 探讨经皮肝穿胆管引流术（PTCD）治疗阻塞性黄疽的疗效.方法 2005年1月至2012年10月昆明市延安医院普外二科、介入科和昆明医科大学第二附属医院介入室共为438例阻塞性黄疸患者实施了PTCD,观察其临床效果.结果 438例均顺利完成PTCD,手术成功率为100％,术后黄疸、皮肤瘙痒明显减轻,肝功明显改善,生活质量提高明显.95％CI为99.16％- 100.00％.结论 PTCD是治疗阻塞性黄疸的有效姑息性治疗方法,具有创伤小、安全、简便、经济、并发症少等优点,值得临床推广应用.Objective To explore the curative effect of percutaneous transhepatic cholangial drainage （PTCD） in treating obstructive jaundice.Methods PTCD was conducted in 438 cases of obstructive jaundice from January 2005 to October 2012 in general surgery department 2,Intervention department of Yan An Hospital of KunMing City and Intervention department of The 2nd Affiliated Hospital of Kunming Medical University,and the therapeutic effect was reviewed.Results 438 cases of PTCD were successfully completed,the success rate of operation was 100％.The symptoms of jaundice and skin itchy were significantly reduced after operation.The life quality of the patients was improved significantly.Conclusion PTCD is an effective palliative treatment for obstructive jaundice,with small trauma,safe,simple,economical advantages,fewer complications,etc,so it is worth popularization.

关 键 词：PTCD 阻塞性黄疸 临床疗效观察 

分 类 号：R657.4[医药卫生—外科学]