| PTBD治疗肝内胆管微扩张型梗阻性黄疸 |
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| 引用本文： | 赵之明,于德江,纪文斌,段卫东,陆宏伟,叶晟,李海林. PTBD治疗肝内胆管微扩张型梗阻性黄疸[J]. 中国临床实用医学, 2010, 4(1): 33-35 |
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| 作者姓名： | 赵之明 于德江 纪文斌 段卫东 陆宏伟 叶晟 李海林 |
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| 作者单位： | 1. 解放军总医院肝胆外科,北京,100853
2. 解放军总医院超声科,北京,100853 |
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| 摘 要： | 目的探讨超声实时引导结合X线透视下，经皮肝胆管穿刺置管引流术（PTBD）治疗肝内胆管微扩张型梗阻性黄疸的操作技术及其临床应用价值。方法回顾性分析9例肝内胆管微扩张型梗阻性黄疸患者的临床资料，6例行右肝胆管PTBD，3例行左肝胆管PTBD。结果胆管穿刺置管成功率100％，术后短暂性发热1例、一过性血性胆汁1例，未出现腹腔出血及胆汁性腹膜炎等严重并发症，术后一周胆红素平均下降（75．4±29．6）μmol／L。引流时间10d～5个月。结论超声引导结合X线透视下PTBD治疗肝内胆管微扩张型梗阻性黄疸是安全可行的。
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| 关 键 词： | 超声 X线透视 梗阻性黄疸 经皮肝胆管穿刺置管引流术（PTBD） |
The use of PTBD in patients with obstructive jaundice with nondilated intrahepatic bile ducts |
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| Affiliation: | ZHAO Zhi-ming, YU De-jiang, JI Wen-bin, et al. (Department of Hepatobiliary Surgery, Chinese PLA Jeneral Hospital, Beijing 100853, China) |
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| Abstract: | Objective To investigate the technical and clinical value of PTBD in patients with obstructive jaundice with nondilated intrahepatic bile ducts by the guiding of ultrasound combined with X-ray scan.Methods PTBD was performed in 9 patients with with nondilated intrahepatic bile ducts, guided by combining ultrasound and X-ray scan. 6 patients were punctured to right bile ducts and 3 were left bile ducts. Results Technical success was obtained in all patients. There were only two minor complications: transient hemobilia (n=1 ) and fever( n = 1 ). No hemorrhage and biliary peritonitis were found after procedures. The bilirubin was reduced by75.4 ± 29. 6ummol/L one week later. Conclusion Ultrasound-and-fluoroscopy guided PTBD in patients with nondilated bile ducts is a safe,feasible,and efficient procedure for the palliation of biliary obstruction. |
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| Keywords: | Ultrasound X-ray scan Obstructive jaundice Percutaneous transhepatic biliary drainage (PTBD) |
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