摘要
目的：分析超声、透视引导下PTCD治疗梗阻性黄疸的优缺点。方法：30例恶性梗阻性黄疸患者,均在超声引导下行PTCD,穿刺右叶胆管24例,左叶胆管6例。DSA下成功放置胆道支架30例。结果：1针穿刺成功率及置入支架成功率100%。均未出现严重并发症。术后1周内胆红素值明显下降,2~3周黄疸基本消退。结论：超声引导结合X线透视下PTCD并胆道支架置入术简便、安全、并发症少,是治疗恶性梗阻性黄疸的有效方法。
Objective. To analysis the advantage and disadvantage of ultrasound and X - ray scan guided PTCD and biliary tract stand in malignant obstruct- tive jaundice. Methods： 30 patients of malignant obstructive jaundice were treated by PTCD guided by ultrasound, 24 patients puctured biliary of hepatic right lobe , 6 patients puctured biliary of hepatic left lobe. 30 patients were placed biliary tract stand under DSA. Results： The successful rate of pueture and place biliary tract stand was 100 %, No serious complications were observed in all of patients . One week after operation bilirubin levels obviously regressed. About 2-- 3 weeks jaundice regression. Conclusion： PTCD and biliary tract stand guided by ultrasound and X - ray scan was simple and conve nient, safety, less complications methods, It is a effective ways to treat malignant obstructive jaundice
出处
《内蒙古医学杂志》
2011年第11期1315-1317,共3页
Inner Mongolia Medical Journal
关键词
恶性梗阻性黄疸
超声
PTCD
胆道支架
Malignant obstructive jaundice
Ultrasound
PTCD
Biliary tract stand
