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超声结合X线透视下PTCD治疗阻塞性黄疸的探讨
引用本文:汤焕亮,曹浩强,费建国. 超声结合X线透视下PTCD治疗阻塞性黄疸的探讨[J]. 影像诊断与介入放射学, 2008, 17(2): 54-56
作者姓名:汤焕亮  曹浩强  费建国
作者单位:嘉兴学院医学院附属第二医院超声科,浙江,314000
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(PTCD)治疗阻塞性黄疸的操作技术及其临床应用价值。方法58例阻塞性黄疸患者,47例为恶性阻塞性病变,11例为良性阻塞性病变,在超声实时引导结合X线透视下行PTCD术,穿刺右叶胆管51例,穿刺左叶胆管7例,并常规造影。结果穿刺成功率100%,未出现出血及胆汁性腹膜炎等并发症,术后一周胆红素平均下降75.4umol/L。结论超声引导结合x线透视下PTCD是一种治疗阻塞性黄疸的有效方法,具有安全、简便、经济、并发症少的优点。

关 键 词:超声实时引导  X线透视  阻塞性黄疸  经皮肝胆管穿刺置管引流术(PTCD)
修稿时间:2007-07-30

Approach to treatmant for obstructive jaundice of PTCD graded by combining ultrasound with X-ray scan
TANG Huan-liang,CAO Hao-qian,FEI Jian-guo. Approach to treatmant for obstructive jaundice of PTCD graded by combining ultrasound with X-ray scan[J]. Journal of Diagnostic Imaging & Interventional Radiology, 2008, 17(2): 54-56
Authors:TANG Huan-liang  CAO Hao-qian  FEI Jian-guo
Affiliation:TANGHuan-liang, CAO Hao-qian, FEI Jian-guo.( Department of Ultrasonic Diagnosis, the Second Affiliated Hospital of Jiaxing College, Zhefiang 314000, China)
Abstract:Objective To investigate the technical and clinical value of PTCD in patients with obstructive jaundice by the guiding of ultrasound combined with X-ray scan. Methods PTCD was performed in 58 patients with obstructive jaundice, with 47 patients malignant diseases and 11 patients benign diseases, guided by combining ultrasound and X-ray scan. 51 patients were punctured to right bile ducts and 7 cases were left bile ducts. Cholangiography was routinely used. Results Technical success was obtained in all patients. No bleeding and biliary peritonitis were found after procedures. The bilirubin was reduced by 75.4ummol/L one week after operation. Conclusion The technique of PTCD guided by combining ultrasound with X-ray scan was safe, simple, cost saving and less complications for obstructive jaundice.
Keywords:Real time guide by ultrasound  X-ray scan  Obstructive jaundice  PTCD
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