C臂CT导引下经皮肝穿刺胆道引流术中特制体表栅栏的应用价值  

The application value of a special surface fence in percutaneous transhepatic cholangial drainage under the guidance of C-arm CT

作　　者：杨会军[1] 贺克武[1] 彭晓正[1] 吴森林 刘海凤 YANG Huijun;HE Kewu;PENG Xiaozheng;WU Senlin;LIU Haifeng(Department of Intervention,Hefei First People’s Hospital,Hefei 230061,China)

机构地区：[1]合肥市第一人民医院介入科,安徽合肥230061

出　　处：《实用放射学杂志》2024年第4期633-636,共4页Journal of Practical Radiology

摘　　要：目的探讨特制栅栏在C臂CT导引下经皮肝穿刺胆道引流术(PTCD)中的应用价值。方法将行PTCD的43例患者随机分为观察组和对照组。观察组在C臂CT导引下使用特制栅栏定位,行PTCD;对照组仅在数字减影血管造影(DSA)透视下行PTCD。比较2组手术时间、穿刺针数及并发症例数是否存在差异。结果观察组手术时间、穿刺次数、并发症例数分别为(39.33±12.96)min、(1.67±0.80)次、3例,对照组分别为(86.77±22.70)min、(3.41±1.26)次、13例,2组间存在明显差异(P<0.05)。结论C臂CT导引下PTCD中应用特制栅栏可缩短手术时间、减少穿刺次数、降低并发症,有重要的临床应用价值。Objective To explore the application value of a special fence in percutaneous transhepatic cholangial drainage(PTCD)under the guidance of C-arm CT.Methods A total of 43 patients who underwent PTCD were randomly divided into observation group and control group.The intervention operation in the observation group was guided by C-arm CT and located by special fence;in the control group,the intervention operation was only performed under digital subtraction angiography(DSA)fluoroscopy.Respectively,the differences in operation time,number of puncture needles and number of complications between the two groups were compared.Results The operation time,puncture times and complications in the observation group were(39.33±12.96)min,(1.67±0.80)times and 3 cases respectively;in the control group were(86.77±22.70)min,(3.41±1.26)times and 13 cases respectively;There were significant differences between the two groups(P<0.05).Conclusion The application of special fence in PTCD under the guidance of C-arm CT can short the operation time,reduce the number of punctures and reduce complications,which has important clinical application value.

关 键 词：数字减影血管造影 穿刺 体表定位 计算机体层成像 经皮肝穿刺胆道引流术 

分 类 号：R814.43[医药卫生—影像医学与核医学] R814.42[医药卫生—放射医学] R815[医药卫生—临床医学]