论文部分内容阅读
目的评价普通超声探头引导经皮经肝胆管穿刺置管引流术(PTCD)的临床价值。方法应用彩色超声诊断仪,普通3.5MHz探头,对73例梗阻性黄疸患者行经皮经肝胆管穿刺置管引流术。结果73例中一次性成功70例(95.9%),其中2例因引流管脱落而先后行再穿刺;3例首次穿刺失败,再次穿刺成功。62例为姑息性治疗,患者带管生存。11例行PTCD术后,黄疸消退再行外科手术治疗。结论PTCD术前减黄及对不能切除的晚期恶性肿瘤引起的阻塞性黄疸患者,既可以改善症状,又可延长生命。同时使用普通探头引导,使PTCD术更加灵活、准确、安全、实时,是固定不动的穿刺探头所不能比拟的。
Objective To evaluate the clinical value of percutaneous transhepatic cholangiocentesis (PTCD) guided by conventional ultrasound probe. Methods Using color ultrasonic diagnostic apparatus and ordinary 3.5MHz probe, 73 cases of obstructive jaundice were treated by percutaneous transhepatic bile duct catheterization. Results Of the 73 cases, 70 cases (95.9%) were successfully treated at one time. Among them, 2 cases were re-punctured due to the shedding of the drainage tube. The first puncture failed in 3 cases and the puncture was successful again. Sixty-two patients were treated for palliative care and the patients survived. 11 cases of PTCD surgery, jaundice subsided again surgical treatment. Conclusion Preoperative PTCD reduces yellowing and improves the symptoms and prolongs the life of obstructive jaundice caused by unresectable advanced malignancies. At the same time the use of ordinary probe guide PTCD surgery more flexible, accurate, safe, real-time, is fixed probe can not match.