超声介入与X线介入行经皮肝穿胆道引流术的临床对比研究  

A comparative study of ultrasound intervention and Xray intervention for percutaneous transhepatic biliary drainage

作　　者：陈瑞芳 周通纲 刘晓兰 蔡芸 谢钰婷 Chen Ruifang;Zhou Tonggang;Liu Xiaolan;Cai Yun;Xie Yuting(Department of B ultrasonic room,Dayu People's Hospital,Ganzhou,Jiangxi,341500,China;The people's hospital of ganzhou city of jiangxi province,Ganzhou,Jiangxi,341000,China;Department of obstetrics and gynecology of the people's hospital of dayu county,jiangxi province,Ganzhou,Jiangxi,341500,China)

机构地区：[1]江西省大余县人民医院B超室,江西赣州341500 [2]江西省赣州市人民医院介入科,江西赣州341000 [3]江西省大余县人民医院妇产科,江西赣州341500

出　　处：《当代医学》2018年第13期19-21,共3页Contemporary Medicine

基　　金：赣州市指导性科技计划任务(合同)书(GZ2017ZSF419)

摘　　要：目的研究超声介入与X线介入行经皮肝穿胆道引流术的临床疗效,并进行对比。方法选取75例行经皮肝穿胆道引流术的胆道梗阻性黄疸患者,采用随机数字法分为3组,各25例;对照组1行经皮肝穿胆道引流术采用超声介入引导、对照组2行经皮肝穿胆道引流术采用X线介入引导、观察组患者行经皮肝穿胆道引流术采用超声介入联合X线介入引导;术后观察对比3组患者术前及术后肝、肾功能、凝血功能、血常规、大便颜色、全身皮肤颜色的变化、黄胆指标的变化情况及术后并发症发生率及严重程度,包括胆道感染、胆道出血,穿刺道胆汁瘘、胆汁性腹膜炎、肝内动静脉瘘等情况。结果 3组患者对比结果显示,行经皮肝穿胆道引流术的对照组1与对照组2治疗效果比较差异无统计学意义。观察组患者较之于对照组1、对照组2治疗效果比较差异有统计学意义(P<0.05)。结论在行经皮肝穿胆道引流术治疗胆道梗阻性黄疸患者时,分别采用超声介入与X线介入的治疗效果并没有二者联合效果好,采用超声介入联合X线介入具有良好临床效果,可有效提高首针穿刺成功率,避免在X线引导下盲目穿刺所带来的损伤,减少了并发症的发生,提升治疗效果,值得用于临床推广。Objective To study the clinical efficacy of ultrasound intervention and X-ray intervention for percutaneous transhepatic biliary drainage.Methods 75 patients with biliary obstructive jaundice who underwent percutaneous transhepatic biliary drainage were randomly divided into 3 groups with 25 cases in each group.In the control group1,percutaneous transhepatic biliary drainage was performed with ultrasound intervention,and In the control group 2,Percutaneous transhepatic biliary drainage was performed with X-ray intervention.In the observation group,percutaneous transhepatic biliary drainage was performed using ultrasound intervention combined with X-ray intervention.Postoperative and postoperative liver and renal function and coagulation were compared between the three groups of patients.Function,blood routine,stool color,body skin color changes,yellow gallbladder index changes,postoperative complications and severity,including biliary tract infections,biliary tract bleeding,puncture duct gall,biliary peritonitis,hepatic motility Venous fistula and so on.Results The results of the three groups showed that there was no significant difference in the therapeutic effect between the control group 1 and the control group 2 who underwent percutaneous transhepatic biliary drainage.There was a statistically significant difference in the treatment effect between the observation group and the control group 1 and the control group 2(P<0.05).Conclusion In the treatment of biliary obstructive jaundice by percutaneous transhepatic biliary drainage,the therapeutic effects of ultrasound intervention and X-ray intervention,respectively,are not effective.The combination of ultrasound intervention combined with X-ray intervention has good clinical effects and can be effective.Improve the first needle puncture success rate,to avoid the damage caused by blind puncture under X-ray guidance,reduce the occurrence of complications,improve the treatment effect,it is worth for clinical promotion.

关 键 词：行经皮肝穿胆道引流术 超声介入 X线介入 

分 类 号：R575[医药卫生—消化系统]