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PTCD在恶性梗阻性黄疸中的应用
引用本文:杨林,谢晓东,王朝华,周翔平.PTCD在恶性梗阻性黄疸中的应用[J].现代预防医学,2007,34(3):502-503.
作者姓名:杨林  谢晓东  王朝华  周翔平
作者单位:1. 四川大学华西医院放射科,成都,610041;川北医学院附属医院
2. 四川大学华西医院放射科,成都,610041
摘    要:目的]探讨经皮肝穿胆道引流术(Percutaneous transhepatic cholangial drainage,PTCD)在恶性梗阻性黄疸中的应用价值。方法]在透视下对108例恶性梗阻黄疸行PTCD,并观察疗效及并发症发生情况。结果]108例均穿刺成功,术后患者血清胆红素和转氨酶较术前显著下降,全身情况改善。并发症发生率5.6%,包括:胆汁外漏1例,休克2例,引流管移位1例,脱落2例。结论]PTCD是治疗恶性梗阻性黄疸的安全和有效方法。

关 键 词:梗阻的  黄疸  介入放射学  治疗
文章编号:1003-8507(2007)03-0502-02
收稿时间:2006-10-26
修稿时间:2006年10月26

THE APPLICATION OF PERCUTANEOUS TRANSHEPATIC CHOLANGIAL DRAINAGE IN MALIGNANT OBSTRUCTIVE JAUNDICE
YANG Lin, XIE Xiao-dong, WANG Chao-hua,et al..THE APPLICATION OF PERCUTANEOUS TRANSHEPATIC CHOLANGIAL DRAINAGE IN MALIGNANT OBSTRUCTIVE JAUNDICE[J].Modern Preventive Medicine,2007,34(3):502-503.
Authors:YANG Lin  XIE Xiao-dong  WANG Chao-hua  
Institution:Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, China
Abstract:Objective]To study the value of percutaneous transhepatic cholangial drainage(PTCD)for the treatment of malignant obstructive jaundice.Methods]One hundred and eight patients with malignant obstructive jaundice were treated with PTCD. The puncture for drainage was performed under fluoroscopic guidance.Results]All the patients were drained successfully,the levels of serum bilirubin and transaminase decreased significantly after the procedure. The incidence of complications was 5.6%,which consisted of bile leakage(1 patient),shock(2 patients),catheter shifting(1 patient)and displacement(2 patients).Conclusions]It is an effective and safe method to treat malignant obstructive jundice with PTCD.
Keywords:Obstructive  Jaundice  Interventional radiology  Therapy
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