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目的总结经皮肝穿刺胆道造影(PTC)对恶性胆道梗阻诊断、治疗价值,并将超声引导和DSA引导下PTC进行比较。方法将超声引导下和DSA引导下PTC进行比较。结果2种引导方法下PTC治疗恶性梗阻性黄疸的治疗提供了较为丰富的信息。结论PTC在恶性梗阻性黄疸的治疗中具有自身的优势,超声引导PTC较DSA具有操作时间短、成功率高、并发症少等优点,值得在临床推广。
Objective To summarize the value of percutaneous transhepatic cholangiography (PTC) in the diagnosis and treatment of malignant biliary obstruction, and to compare the ultrasound guided and DSA guided PTC. Methods Ultrasound-guided and DSA-guided PTC were compared. Results Two kinds of guiding methods of PTC in the treatment of malignant obstructive jaundice provided more abundant information. Conclusion PTC has its own advantages in the treatment of malignant obstructive jaundice. Ultrasound-guided PTC has the advantages of short operation time, high success rate and fewer complications compared with DSA, which is worthy of clinical promotion.