超声引导经皮肝穿刺胆道置管引流术在恶性梗阻性黄疸中的临床应用

Clinical value of ultrasound-guided percutaneous transhepafic cholangiography drainage on malignant biliary obstructive

目的评价超声引导经皮肝穿刺胆道置管引流术在恶性肿瘤所致梗阻性黄疸中的临床应用价值。方法对38例恶性梗阻性黄疸患者行超声引导下经皮肝穿刺胆道置管引流术,观察胆汁引流情况,有无并发症,肝功能改善情况。结果 38例患者均置管成功,一次置管成功率97.4%(37/38),二次置管成功率2.6%(1/38);术后引流通畅,胆红素明显降低,未出现大出血、胆漏、感染等并发症。结论在超声引导下经皮肝穿刺胆道置管引流术具有安全、可靠、实时、准确的特点,能够明显改善恶性梗阻性黄疸患者肝功能,有重要临床应用价值。

Objective To evaluate the clinical application value of percutaneous transhepafic cholangiography drainage（PTCD） in patients with malignant biliary obstructive jaundice（MBOJ）.Methods The 38 cases of MBOJ were retrospectively analyzed and clinical data of 38 patients of malignant biliary obstructive jaundice treated with PTCD： the condition of biliary drainage,complications and bilirubin reduction were observed.Results The successful rate of total centesis in 38 patients was 97.4%（37/38）.No hemorrhoea,bile leakage,infection and other complications were found in patients.Conclusion Application of ultrasound-guided percutaneous transhepatic cholangiography drainage is a safe,reliable,real-time and accurate technique,and it can improve the liver function in patients with malignant obstructive jaundice and has important clinical value.