106例高龄急性重症胆管炎经皮肝穿刺胆道引流的疗效观察

目的：观察B超引导下经皮肝穿刺胆道引流术（PTCD）在高龄急性重症胆管炎中的治疗效果。方法：对我院收治的106例高龄急性重症胆管炎患者行PTCD，观察临床治疗效果。结果：106例均穿刺置管成功，全部获得有效胆管引流，引流24～48h后腹痛减轻，体温逐渐降至正常。术后胆道出血2例，胆漏1例，导管脱落1例，导管堵塞2例，无气胸、血胸等并发症及死亡病例。结论：对难以耐受手术的高龄急性重症胆管炎患者，PTCD是一种安全、可靠、微创、有效的治疗方法。

Observation of treatment effect of percutaneous transhepatic biliary drainage on acute severe cholangitis in 106 elderly patients

Objective： To observe the treatment effect ofpercutaneous transhepatic cholangio drainage （PTCD） on acute severe cholangitis in the elderly patients under guidance of B-ultrasound. Methods： In our hospital, 106 cases of elderly patients with acute severe cholangitis were treated with PTCD and their clinical treatment results were analyzed. Results： All the cases succeeded in puncture and catheterization, and got effective biliary drainage. After 24 to 48 hours all of the abdominal pain was relieved, and all of the body temperature gradually returned to normal. Among them, 2 cases were biliary tract hemorrhage, 1 case was bile leakage, catheter was fallen off in 1 case, and catheter blockage in 2 cases. There were no pneumothorax, hemothorax, other complication and no deaths. Conclusion： PTCD is a safe, reliable, minimally invasive and effective treatment method for the elderly patients with acute severe cholangitis who were difficult to tolerate any operations.