超声引导一步法经皮肝穿刺胆管引流的临床价值

Clinical value of ultrasound-guided one-step percutaneus transhepatic biliary drainage

目的:探讨超声引导一步法经皮肝穿刺胆管引流(percutaneus transhepatic biliary drainage,PTBD)的临床价值。方法:对肝内胆管扩张明显的62例梗阻性黄疸患者,行超声引导下一步法PTBD。结果:62例行68次PTBD,67次引流成功,1次失败。术后1周黄疸明显减退者58例,无明显减退者3例,2天后脱管再行PTBD者3例。结论:超声引导下一步法PTBD具有方便、灵活的特点,值得推广应用。

Objective： To evaluate the clinical value of ultrasound-guided one-step pereutaneus transhepatie biliary drainage（PTBD）. Methods ： Clinical data of patients treated with PTBD were retrospectively analyzed. Results ： Sixty-eight times of 62 cases of PTBD were done,67 times were successful among them,only 1 time was failed. The symptom of jaundice was alleviated obviously in 58 cases one week post-operation,no obvious effect in 3 case. Three cases were treated with PTBD again whose catheters were displaced after two days. Conclusions： Ultrasound-guided one-step percutaneus transhepatie biliary drainage is a simple and safe procedure which is recommended to apply in clinical practice.