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目的探讨经皮肝穿胆道引流术(PTCD)介入治疗低位恶性梗阻性黄疸(MOJ)的疗效。方法 14例低位MOJ患者行PTCD介入治疗。回顾性分析介入手术成功率、术后并发症等资料。结果 14例患者均成功行PTCD介入治疗,手术成功率100%。6例患者行PTCD+支架植入术,其中行外引流5例,内外引流1例。8例患者行单纯性PTCD,其中外引流6例,内外引流2例。引流成功率100%。术后并发症主要为胆道感染、急性胰腺炎、引流管移位以及支架内再狭窄或闭塞。结论对于低位MOJ患者,PTCD介入治疗是一种相对简单、安全有效的治疗方法。
Objective To investigate the efficacy of percutaneous transhepatic biliary drainage (PTCD) in the treatment of low grade malignant obstructive jaundice (MOJ). Methods 14 patients with low MOJ underwent PTCD interventional therapy. Retrospective analysis of interventional success rate, postoperative complications and other data. Results All 14 patients underwent PTCD intervention successfully. The successful rate was 100%. 6 patients underwent PTCD + stent implantation, including 5 cases of external drainage, internal and external drainage in 1 case. Eight patients underwent simple PTCD, including 6 cases of external drainage, internal and external drainage in 2 cases. Drainage success rate of 100%. Postoperative complications were mainly biliary tract infection, acute pancreatitis, drainage tube displacement and in-stent restenosis or occlusion. Conclusion PTCD interventional therapy is a relatively simple, safe and effective treatment for patients with low MOJ.