PTGD在老年恶性梗阻性黄疸补救治疗中的应用  

Palliative therapy of malignant obstructive jaundice with percutaneous transhepatic gallbladder drainage in elderly patients

作　　者：曹敏丽[1] 吕志诚[2] 任小龙[1] 

机构地区：[1]兰州军区兰州总医院超声诊断科,甘肃兰州730050 [2]兰州军区兰州总医院干四科,甘肃兰州730050

出　　处：《西北国防医学杂志》2015年第2期95-97,共3页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的:探讨超声引导下经皮经肝胆囊穿刺引流术(PTGD)在老年恶性梗阻性黄疸补救治疗中的价值。方法:对11例术后复发及PTCD失败的老年恶性梗阻性黄疸患者行超声引导下经皮肝胆囊穿刺置管引流术。结果:3周后黄疸完全消退为64%(7/11),减轻36%(4/11),随访3、6个月生存率为55%、36%。结论:PTGD可作为老年恶性梗阻性黄疸术后复发及PTCD失败的补救治疗。Objective：To evaluate the safety and efficacy of percutaneous transhepatic gallbladder drainage（PTGD）guided by ultrasound in the treatment of malignant obstructive jaundice in elderly patients.Methods：The PTGD procedure was performed under the guidance of ultrasound for 11 elderly patients with recurrent tumor and malignant obstructive jaundice after unsuccessful percutaneous transhepatic cholangial drainage（PTCD）.Results：The jaundice was completely disappeared 3weeks after PTGD in 7patients,and was partially decreased in 4patients.The survival rates of 3and 6months were 55%and 36%respectively.Conclusion：The PTGD is a simple palliative treatment method after unsuccessful PTCD for elderly patients with postoperative recurrent tumor and malignant obstructive jaundice.

关 键 词：PTGD 恶性梗阻性黄疸 补救治疗 老年 

分 类 号：R735[医药卫生—肿瘤] R445.1[医药卫生—临床医学]