超声引导经皮经肝穿刺胆管引流术的临床应用 |
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引用本文: | 王建宏,李叶阔,郭悦,苏海砾,韩国宏,樊代明. 超声引导经皮经肝穿刺胆管引流术的临床应用[J]. 中国超声医学杂志, 2001, 17(7): 522-524 |
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作者姓名: | 王建宏 李叶阔 郭悦 苏海砾 韩国宏 樊代明 |
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作者单位: | 西京医院消化内科 |
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摘 要: | 目的:探讨超声引导经皮经肝穿刺胆管置管引流(PTCD)的临床应用价值。方法:梗阻性黄疸32例,在超声引导下作经皮经肝胆管置管引流(PTCD);对于超声显示导管不佳或位置不易确定,肝外胆道显示较差者,再在X线透视下作胆管造影术(PTC)行PTCD。结果:超声引导经皮经肝穿刺胆管1次性成功率达81.3%,2次性成功率达93.8%,3次性成功率达100%;单独超声引导下行PTCD术成功率达87.5%;超声引导结合PTC行PTCD术成功率达96.9%。结论:超声引导下经皮经肝穿刺胆管准确性高;PTCD术应首选超声引导;超声引导结合PTC可提高PTCD的成功率。
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关 键 词: | 经皮经肝胆管引流 超声引导 恶性肿瘤 胰头癌 胆管癌 临床应用 |
修稿时间: | 2001-01-15 |
Clinical Application of Ultrasound-guided Percutaneous Transhepatic Cholangial Drainage |
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Abstract: | Objective:To study the clinical value of the US-guide to PTCD.Methods:PTCD were operated under the US-guide in thirty-two patients with obstructive jaundice.PTCD will be operated under the X-ray PTC guide for the patient whose duct was not easily seen to decide its position.Results:The successive rate of single puncture is very high,up to 81.3%,the rate of two-times puncture is 93.8%,and that of three-times puncture is 100% in the US-guided operation;The successive rate of the unitary US-guided PTCD reached to 87.5%;The rate of the integration of the US-guide with the PTC-guide is 96.9%.Conclusions:The accuracy of the US-guided percutandous transhepatic bile duct puncture is very high.Ultrasonography shoud be the first choice to guide PTCD operation.The US-guide combined with the PTC-guide can increase the successful rate of PTCD. |
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Keywords: | Percutaneous transhepatic cholangial drainage Ultrasound-guide |
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