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1984年6月至1987年3月我院为24例恶性梗阻性黄疸患者施行经皮肝穿刺胆道置管引流术(下称PTCD)。均经临床、手术或病理证实。现报告如下。临床资料本组24例中男18例,女6例;年龄40岁至75岁,平均57.2岁;PTCD均成功,无死亡。17例手术病例,术前引流8～21天,平均13.3天,手术方式见附表,无手术死亡。7例因全身衰竭或病人拒绝手术仅做PTCD,带管出院。讨论 1.替代一期手术,增加根治手术机会。
From June 1984 to March 1987, 24 patients with malignant obstructive jaundice underwent percutaneous transhepatic biliary drainage (hereinafter referred to as PTCD). All confirmed clinically, surgically or pathologically. The report is as follows. Clinical data The group of 24 cases of 18 males and 6 females; aged 40 to 75 years, mean 57.2 years old; PTCD were successful without death. In 17 surgical cases, drainage was performed 8 to 21 days before surgery, with an average of 13.3 days. See the attached table for surgical procedures and no operative death. In 7 cases, only PTCD was performed due to systemic failure or the patient refused surgery, and was discharged with a tube. Discussion 1. Replace the first stage surgery to increase the chance of radical surgery.