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目的 探讨超声引导下经皮经肝胆管穿刺置管引流 (PTCD)对恶性阻塞性黄疸的临床应用价值及操作方法的改进。方法 回顾性分析 1 1例恶性肿瘤所致的阻塞性黄疸患者 ,应用普通凸阵探头引导行 PTCD术。结果 1 1例共行 1 3次 PTCD,其中 1例行左外叶下段支胆管穿刺失败而改行右前支穿刺 ,其余均一次性穿刺成功 ,手术成功率达 92 .3% (1 2 / 1 3)。术后观察黄疸明显减退者 7例 (6 3.6 % ) ,轻度减退者 4例 (36 .4 % )。结论 普通凸阵探头引导下 PTCD术操作方便 ,手术成功率高 ,疗效确切 ,值得临床推广应用
Objective To investigate the clinical value of percutaneous transhepatic cholangiocarcinoma (PTCD) for malignant obstructive jaundice guided by ultrasound and the improvement of operation method. Methods A retrospective analysis of 11 patients with obstructive jaundice caused by malignant tumors was performed with normal convex array probe guided by PTCD. Results One hundred and eleven patients underwent PTCD. Among them, one patient underwent a right lateral branch of the left inferior epicardium and failed to pass through the right anterior branch. The remaining one-time successful puncture was performed. The success rate of operation was 92.3% (1 2/1 3 ). Postoperative observation of jaundice significantly decreased in 7 cases (6 3.6%), mild hypothyroidism in 4 cases (36.4%). Conclusion Conventional convex array probe-guided PTCD operation is convenient, the success rate of operation is high, the curative effect is exact and worthy of clinical application