经皮经肝胆囊穿刺胆道造影与逆行胰胆管造影应用价值比较

Comparison of clinical value between ultrasonic leading puncture percutaneous trans hepatic and trans gallbladder cholangiography and ERCP

目的 :比较超声引导经皮经肝胆囊穿刺胆道造影 (TGB- PTC)与逆行胰胆管造影 (ERCP)在胆系疾病诊断中的应用价值。方法 :2 2例患者在 B超引导下经皮经肝穿刺胆囊行胆道造影 ,显示所有的胆系情况 ,从操作技术、造影情况、并发症发生率等方面 ,与同期 32例经内镜的 ERCP患者相比较 ,总结此项检查技术的临床应用价值。结果 :TGB- PTC 2 2例中穿刺成功 2 1例 ,19例胆道造影成功 ,无 1例发生出血、胆漏、感染、急性胰腺炎等并发症。ERCP 32例中置管成功 30例 ,造影成功 2 8例 ,2例并发轻度急性胰腺炎 ,1例并发轻度胆道感染。结论 :与 ERCP相似 ,TGB- PTC是一种简单、可靠、安全。

Objective:To compare the clinical value between ultrasonic leading puncture percutaneous trans hepatic and trans gallbladder cholangiography(TGB PTC) and ERCP in diagnoses of bile duct diseases.Methods:There were 22 TGB PTC patients in this clinical study and the puncture was percutaneous trans hepatic and trans gallbladder. Dilute meglucamine diatrizoate solutions were infused slowly for cholangiography after successful puncture. It was compared with 32 ERCP patients in performance、cholangiography and complications in order to conclude the clinical application value of TGB PTC.Results:In 22 patients of TGB PTC, puncture was successful in 21 patients, and cholangiography was successful in 19 patients. There were not any complications in all 22 patients. In 32 patients of ERCP, catheterization was successful in 30 patients, and cholangiography was successful in 28 patients. Of 32 patients, two were complicated by slight acute pancreatitis and 1 patient complicated by slight infection of biliary tract.Conclusion:Like ERCP, TGB PTC is a simple、reliable、secure and effective method in cholangiography.