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经引流管超声造影在经皮经肝胆道置管引流术中的应用
引用本文:夏要友,陆信,孙琰,陈坤,张庶,冯蕾.经引流管超声造影在经皮经肝胆道置管引流术中的应用[J].临床超声医学杂志,2014(11):740-742.
作者姓名:夏要友  陆信  孙琰  陈坤  张庶  冯蕾
作者单位:昆明医科大学第二附属医院超声科, 昆明市,650101
摘    要:目的探讨经引流管超声造影在梗阻性黄疸患者行经皮经肝胆道置管引流术(PTCD)中的应用价值。方法 54例梗阻性黄疸患者(肝内胆管内径≥0.5 cm),使用Sono Vue经引流管超声造影指导PTCD过程。结果 PTCD置管成功51例,成功率94.4%,效果良好且未见明显并发症;其中肝内置引流管1根46例,置引流管2根5例。置管失败3例。结论经引流管超声造影能有效提高梗阻性黄疸患者PTCD的成功率。

关 键 词:超声检查  造影剂  经皮经肝胆道置管引流术  梗阻性黄疸

Application value of contrast-enhanced ultrasonography through drainage tube for percutaneous transhepatic cholangial drainage
XIA Yaoyou,LU Xin,SUN Yan,CHEN Kun,ZHANG Shu,FENG Lei.Application value of contrast-enhanced ultrasonography through drainage tube for percutaneous transhepatic cholangial drainage[J].Journal of Ultrasound in Clinical Medicine,2014(11):740-742.
Authors:XIA Yaoyou  LU Xin  SUN Yan  CHEN Kun  ZHANG Shu  FENG Lei
Institution:( Department of Ultrasound, Second Affiliated Hospital of Kunming Medical University, Kunming 650101,China)
Abstract:Objective To explore the application value of contrast-enhanced ultrasonography (CEUS) through drainage tube for percutaneous transhepatic cholangial drainage (PTCD). Methods Fifty four patients with obstructive jaundice (intrahepatic bile duct≥0.5 cm) underwent PTCD guided by CEUS through drainage tube. Results PTCD was successfully performed in 51 cases with the help of CEUS,1 drainage tube was planted in 46 cases, 2 tubes were planted in 5 cases and it was failed in 3 cases. A high success rate of PTCD (94.4%) was achieved and no serious complications occurred. Conclusion CEUS through drainage tube can effectively improve the success rate of PTCD for the obstructive jaundice patients.
Keywords:Ultrasonography  Contrast agents  Percutaneous transhepatic cholangial drainage(PTCD)  Obstructive Jaundice
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