PTCD在急性胆道梗阻治疗中的应用

The application of percutaneous transhepatic cholangiography and drainage in the treatment of acute obstructive suppurative cholangitis

目的:探讨PTCD在急性胆道梗阻患者治疗中的意义。方法:对我院肝胆外科29例2009-06-2012-05因急性胆道梗阻行PTCD术患者临床资料进行回顾性分析、讨论。结果:28例患者成功接受PTCD治疗,1例患者因穿刺困难改行经皮经肝胆囊穿刺引流术(percutaneous cholecystostomy,PC),术后全部患者黄疸减轻,胆道感染症状控制,血清胆红素水平明显下降,顺利接受下一步手术治疗,术后胆漏1例。结论:PTCD对急性胆道梗阻是一种微创、安全、有效的治疗方法。

Objective： To study the clinical value of percutaneous transhepatic cholangiography and drainage （PTCD） in patients with acute obstructive suppurative cholangitis. Method： Retrospective analyzed the clinical data of 29 patients with acute obstructive suppurative cholangitis received PTCD. Result： PTCD was performed in 28 pa-tients,1 case received percutaneous cholecystostomy. Postoperative bile leakage occurred in 1 case. Remission of systemic toxic symptoms was achieved in all patients. The degree of jaundice was reduced and all patients received the next operative treatment smoothly. Conclusion： PTCD is a minimal invasive, safe and useful method for treat ment of AOSC.