梗阻性黄疸的处置和经皮直接穿刺胆囊造口的价值

THE TREATMENT OF OBSTRUCTIVE JAUNDICE AND THE VALUE OF PERCUTANEOUS CHOLECYSTOSTOMY

本文报告应用经皮胆囊穿刺造口术治疗40例梗阻性黄疸患者的结果,并与同时期施行的经皮经肝胆管穿刺引流40例在成功率、引流效果及并发症诸方面做比较。作者认为,前者具有操作简便、创伤小、引流满意、并发症少等优点而建议推广应用。应用扩张导管进行胆囊置管不会发生胆汁渗漏。但是对于高位胆道梗阻、胆囊管闭塞和胆囊萎缩者,本法仍不能取代经皮经肝胆管穿刺引流。

Forty patients with obstructive jaundice were treated with percutaneous transperitoneal puncture cholecystostomy (PC). It is compared with PTBD in respects of success rate, drainage efficacy, and complications. It is found that PC is safe, less traumatic, easy to practise and having less complications. However, this procedure cannot replace PTBD in patients with high level biliary obstruction, occlusion of cystic duct or atrophic gallbladder.