超声引导经皮肝穿刺胆管置管引流术治疗恶性梗阻性黄疸的临床效果

目的 探讨采用超声引导经皮肝穿刺胆管置管引流术对恶性梗阻性黄疸进行治疗的临床效果.方法 随机选取本院2013年9月至2015年2月收治的恶性梗阻性黄疸患者40例,所有患者均接受超声引导下经皮肝穿刺胆管置管引流术,对患者治疗前后相关生化指标的变化情况进行观察记录,同时对超声引导在经皮肝穿刺胆管置管引流术中的应用进行分析.结果 所有患者均顺利完成穿刺,成功率为100％.本次研究中40例患者经治疗,其总胆红素[(249±135)μmol/L]、直接胆红素[(72±26)μmol/L]等相关生化指标同治疗前[(429±213)μmol/L、(151 ±81)μmol/L]相比明显降低,差异有统计学意义(P＜0.05).结论 在超声监控下实施穿刺,可保证手术的顺利进行,能够有效改善黄疸相关临床症状和生化指标水平,对于改善患者的生存质量具有十分积极的作用.

Clinical efficacy of ultrasonic-guided percutaneous transhepatic biliary drainages in the treatment of malignant obstructive jaundice

Objective To investigate the clinical effect of ultrasonic-guided percutaneous transhepatic biliary drainages in the treatment of malignant obstructive jaundice.Methods 40 cases of malignant obstructive jaundice admitted in our hospital from September 2013 to February 2015 were randomly selected,all patients received the treatment of ultrasonic-guided percutaneous transhepatic biliary drainages,the changes of related biochemical indexes of patients before and treatment were observed and recorded,meanwhile,the application of ultrasonic guidance in percutaneous transhepatic biliary drainages was analyzed.Results All patients had the puncture smoothly,with the successful rate of 100％.The related biochemical indexes such as total bilirubin [(249±135)μmol/L],direct bilirubin [(72±26)μmol/L] significantly decreased compared with those indexes before treatment,with statistically significant differences (P＜0.05).Conclusions The implementation of puncture under ultrasonic guidance can ensure the smooth operation,effectively improve clinical symptoms and signs and related biochemical indexes of jaundice;therefore,it has very positive effect on the improvement of life quality of patients.