经皮经肝胆道引流术治疗梗阻性黄疸

目的：探讨经皮经肝胆道引流术（PTCD）治疗梗阻性黄疸的临床意义。方法：在B超或X线引导下,对22例梗阻性黄疸患者采用PTCD治疗。结果：22例中,21例成功,成功率为95%。死亡2例,死亡率为9%。单纯胆道造影（PTC）1例,放置引流管引流17例,置入金属胆道支架9例。治疗后黄疸和皮肤瘙痒减轻,总胆红素明显下降,肝功能改善,效果满意。结论：此方法创伤小,并发症少,操作简单,引流可靠有效,是梗阻性黄疸较好的引流方法,值得推广。

Percutaneous transhepatic cholangial drainage in the treatment of obstructive jaundice

Objective：To study the clinical significance of percutaneous transhepatic catheter drainage（PTCD） in the treatment of obstructive jaundice.Methods：Guided by B-ultrasoumd or X-ray,22 patients with obstructive jaundice were treated with PTCD.Results：In 22 patients,21 cases had been completed successfully,the successful rate was 95%.2 patients died after operation,the fatal rate was 9%.1 case of simple percutaneous transhepatic cholangiography（PTC）,17 cases of biliary drainage by catheter,and 9 cases of implantation of metallic stents were performed.After PTCD,the jaundice and pruritus reduced,the total bilirubin was dramatically reduced,hepatic function improved.Conclusion：This method has less wound and complication,the treatment technique is simple and the drainage method is safe and effective,which is one better drainage method in patients with obstructive jaundice,it is worth popularizing.