超声引导下直接法经皮肝胆管置管引流治疗梗阻性黄疸的价值  

Direct Approach of Ultrasound-Guided Percutaneous Transhepatic Cholangial Drainage in the Treatment of Obstructive Jaundice

作　　者：游衍春 李璐 蒲猛 吴迪 姚克纯 刘禧 范校周 You Yanchun;Li Lu;Pu Meng;Wu Di;Yao Kechun;Liu Xi;Fan Xiaozhou('1.Department of Ultrasound,Air Force Medical Center,Air Force Medical University,Beijing 100142,China;Outpatients Department,The 26th Rest Center for Retired Cadres in Haidian,Beijing Garrison Region,Beijing 100039,China;Department of Hepatobiliary Surgery,Air Force Medical Center,Air Force Medical University,Beijing 1oo142,China)

机构地区：[1]中国人民解放军空军特色医学中心超声诊断科,北京市100142 [2]北京卫戍区海淀第二十六离休干部休养所门诊部,北京市100039 [3]空军军医大学空军特色医学中心肝胆外科,北京市100142

出　　处：《中国超声医学杂志》2023年第12期1383-1386,共4页Chinese Journal of Ultrasound in Medicine

基　　金：空军特色医学中心优秀青年人才计划项目(No.22YXQN015)。

摘　　要：目的 探讨与间接法相比,超声引导下直接法经皮肝胆管置管引流术(UG-PTCD)对治疗扩张胆管内径≥5 mm的梗阻性黄疸的优势。方法 回顾UG-PTCD治疗的61例梗阻性黄疸患者临床资料,分析直接法和间接法治疗前后实验室指标的差异,收集两种方法操作引导时间、并发症和后期随访情况,并进行比较。结果 术前两组检验指标比较无显著差异;术后与术前相比,两种方法中除白细胞计数无统计学意义外,其余检验指标均有统计学意义(P<0.05);直接法相比于间接法,发生并发症少(P<0.05),操作时间短(P<0.05)。结论 UG-PTCD直接法治疗扩张胆管内径≥5 mm的梗阻性黄疸较间接法并发症发生率低、操作引导时间短,可促进梗阻性黄疸患者症状缓解。Objectivee To explore the advantages of direct approach of ultrasound-guided percutaneous transhepatic cholangial drainage(UG-PTCD)in the treatment of obstructive jaundice with dilated bile duct diameter≥5 mm compared with indirect approach.Methods We reviewed the clinical data of 61 patients with obstructive jaundice treated with UGPTCD,analyzed the differences in laboratory indicators before and after direct and indirect approaches,and collected guidance time,complications,and follow-up information of them for comparison.Results There were no significant differences in preoperative test indicators between two groups.Except for white blood cell count,all other test indicators originated from two approaches after UG-PTCD were statistically significant compared with those before surgery(P<0.05).Compared with the indirect approach of UG-PTCD,the direct approach of UG-PTCD had fewer complications(P<0.05)and shorter operating time(P<0.05).Conclusions The direct approach of UG-PTCD for treating obstructive jaundice with dilated bile duct diameter≥5 mm has a better performance in complications and guidance time compared to the indirect approach,which can promote symptomatic relief in patients with obstructive jaundice.

关 键 词：梗阻性黄疸 经皮肝胆管置管引流术 直接法 

分 类 号：R445.1[医药卫生—影像医学与核医学] R575[医药卫生—诊断学]