| 超声引导下PTCD与ERCP联合治疗恶性梗阻性黄疸十例 |
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| 引用本文： | 金壮,曹军英,张筠,蔡惠红,里子彧. 超声引导下PTCD与ERCP联合治疗恶性梗阻性黄疸十例[J]. 介入放射学杂志, 2015, 0(3): 223-225 |
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| 作者姓名： | 金壮 曹军英 张筠 蔡惠红 里子彧 |
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| 作者单位： | 1. 710032,西安第四军医大学西京医院
2. 沈阳军区总医院特诊科 |
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| 摘 要： | 目的探讨超声引导下经皮经肝胆管穿刺引流(UG-PTCD)与内镜逆行胰胆管造影(ERCP)联合术解除恶性胆道梗阻的方法和效果。方法10例恶性胆道梗阻患者ERCP治疗失败后,立即行UG-PTCD,将导丝沿肝内胆管、胆总管引入十二指肠。与ERCP对接后,行胆道支架植入或行梗阻物理因素解除。结果 10例均获得成功。UG-PTCD与ERCP对接获得成功后的患者,术后血清胆红素明显下降。主要并发症为发热、血清淀粉酶升高和短暂血性胆汁。结论 UG-PTCD与ERCP联合治疗是解决ERCP失败后的一种新探索,具有良好的临床应用价值,可明显提高ERCP成功率。
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| 关 键 词： | 超声引导下经皮经肝胆管穿刺引流 内镜逆行胰胆管造影 联合术 梗阻性黄疸 |
Ultrasound-guided PTCD combined with ERCP for the treatment of malignant obstructive jaundice:initial experience in 10 cases |
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| JIN Zhuang,CAO Jun-ying,ZHANG Yun,CAI Hui-hong,LI Zi-yu. Ultrasound-guided PTCD combined with ERCP for the treatment of malignant obstructive jaundice:initial experience in 10 cases[J]. Journal of Interventional Radiology, 2015, 0(3): 223-225 |
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| Authors: | JIN Zhuang CAO Jun-ying ZHANG Yun CAI Hui-hong LI Zi-yu |
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| Affiliation: | JIN Zhuang;CAO Jun-ying;ZHANG Yun;CAI Hui-hong;LI Zi-yu;Xijing Hospital,Fourth Military Medical University; |
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| Abstract: | |
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| Keywords: | ultrasound-guided percutaneous transhepatic cholangial drainage endoscopic retrograde cholangio-pancreatography combination operation obstructive jaundice |
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