套管法与Seldinger法经皮肝穿刺胆管引流术治疗恶性梗阻性黄疸对照研究  

Trocar versus Seldinger technique for percutaneous transhepatic biliary drainage in malignant obstructive jaundice:a control study

作　　者：谭中宝[1] 王焕景[1] 杜睿[2] 吴大广 TAN Zhongbao;WANG Huanjing;DU Rui;WU Daguang(Department of Interventional Radiology,the Affiliated Hospital of Jiangsu University,Zhenjiang,Jiangsu Province 212001,China;Department of Ultrasound Medicine,the Affiliated Hospital of Jiangsu University,Zhenjiang,Jiangsu Province 212001,China;Department of Oncology,Funing County People’s Hospital,Funing,Jiangsu Province 224400,China)

机构地区：[1]江苏大学附属医院介入放射科,江苏镇江212001 [2]江苏大学附属医院超声医学科,江苏镇江212001 [3]阜宁县人民医院肿瘤科,江苏阜宁224400

出　　处：《实用放射学杂志》2024年第8期1342-1344,共3页Journal of Practical Radiology

摘　　要：目的比较套管法与Seldinger法经皮肝穿刺胆管引流术(PTBD)治疗恶性梗阻性黄疸(MOJ)。方法回顾性分析80例MOJ患者影像资料,分为套管法组(30例)和Seldinger法组(50例)。主要观察指标为技术成功率、疗效及并发症。结果1次置管成功率Seldinger法组高于套管法组(98%vs 83.3%;P=0.03)。2组患者临床效果相似。结论Seldinger法与套管法PTBD均是缓解梗阻性黄疸有效方法,但Seldinger法1次穿刺置管成功率更高。Objective To compare the treatment of malignant obstructive jaundice(MOJ)with trocar versus Seldinger technique for percutaneous transhepatic biliary drainage(PTBD).Methods The imaging data of 80 patients with MOJ were analyzed retrospectively and divided into trocar group(30 cases)and Seldinger group(50 cases).The primary outcomes were technical success rate,efficacy and complication.Results The first success rate was higher in the Seldinger group than the trocar group(98%vs 83.3%;P=0.03).The clinical effect was similar.Conclusion Both trocar and Seldinger technique for PTBD are equally effective to relieve obstructive jaundice.Seldinger technique was associated with a high first success rate.

关 键 词：套管法 SELDINGER法 经皮肝穿刺胆管引流术 恶性梗阻性黄疸 

分 类 号：R815[医药卫生—放射医学] R575.7[医药卫生—临床医学]