超声联合计算机在晚期恶性梗阻性黄疸治疗中的应用  

Application of Ultrasound Combined with Computer in the Treatment of Advanced Malignant Obstructive Jaundice

作　　者：韩东亮 李广 姚皓 刘昭明 HAN Dongliang;LI Guang;YAO Hao;LIU Zhaoming(Department of Science and Education,Hengshui People’s Hospital,Hengshui 053000,Hebei,P.R.China;Department of Hepatobiliary Surgery,Hengshui People’s Hospital,Hengshui 053000,Hebei,P.R.China)

机构地区：[1]衡水市人民医院科教处,河北衡水053000 [2]衡水市人民医院肝胆外科,河北衡水053000

出　　处：《影像科学与光化学》2022年第1期59-63,共5页Imaging Science and Photochemistry

摘　　要：本文探讨了常规超声、超声造影联合计算机辅助在内镜下逆行胰胆管造影术(ERCP)、经皮经肝穿刺胆道引流术(PTCD)与超声内镜引导下胆道引流术(EUS-BD)治疗晚期恶性梗阻性黄疸中的应用。选取54例晚期恶性梗阻性黄疸患者为研究对象,将其分为ERCP组、PTCD组、EUS-BD组,分析三组患者住院天数、近期并发症和肝脏功能指标等。结果显示:(1)三组患者手术后在治疗晚期恶性梗阻性黄疸效果显著(P<0.01);(2)与其他两组相比,EUS-BD组并发症和住院天数最少(P<0.05);(3)病理分析结果显示,ERCP组和EUS-BD组对导管伤害较少。总之,EUS-BD组患者采用常规超声联合计算机辅助技术,与ERCP组超声造影及PTCD组常规超声相比,更具备优势。In this paper, the application of conventional ultrasound, contrast-enhanced ultrasound combined with computer-assisted endoscopic retrograde cholangiopancreatography(ERCP), percutaneous transhepatic biliary drainage(PTCD) and endoscopic ultrasound-guided biliary drainage(EUS-BD) in the treatment of advanced malignant obstructive jaundice was discussed. A total of 54 patients with advanced malignant obstructive jaundice were selected as the research objects, and they were divided into ERCP group, PTCD group, and EUS-BD group. The days of hospitalization, recent complications and liver function indexes of patients in three groups were analyzed. The results showed:(1) the three groups of patients had a significant effect in the treatment of advanced malignant obstructive jaundice after surgery(P<0.01);(2) Compared with the other two groups, the EUS-BD group had the least complications and hospitalization days(P<0.05);(3)The results of pathological analysis showed that the ERCP group and EUS-BD group had less damage to the catheter. In short, patients in the EUS-BD group used conventional ultrasound combined with computer-assisted technology, which has advantages compared with contrast-enhanced ultrasound in the ERCP group and conventional ultrasound in the PTCD group.

关 键 词：常规超声 超声造影 晚期恶性梗阻性黄疸 内镜下逆行胰胆管造影 经皮经肝穿刺胆道引流术 超声内镜引导下胆道引流术 

分 类 号：R730.5[医药卫生—肿瘤]