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目的探讨超声引导下经皮经肝穿刺胆管置管引流术(PTCD)对恶性梗阻性黄疸的临床应用价值。方法应用超声诊断仪对16例恶性梗阻性黄疸患者行PTCD。结果全部置管成功,一次进针14例(87.5%),二次进针2例(12.5%)。经引流后黄疸均明显减退,血清总胆红素明显下降,术前血清总胆红素228～518μmol/L,术后1周血清总胆红素在86～277μmol/L之间,平均下降198.6μmol/L。肝功能明显改善,有效地改善了症状。结论超声引导下经皮肝胆道置管引流术对于恶性梗阻性黄疸的患者是一种安全、创伤小、简便、实用的治疗措施,可以明显延长恶性梗阻性黄疸患者的生存时间,提高生活质量,具有较好的临床价值。
Objective To investigate the clinical value of percutaneous transhepatic biliary tube drainage (PTCD) guided by ultrasound in the treatment of malignant obstructive jaundice. Methods PTCD was performed on 16 patients with malignant obstructive jaundice using an ultrasonic diagnostic apparatus. Results All the catheters were successfully implanted. One needle (87.5%) was inserted at one time and two needles (12.5%) were used at the second. The jaundice was significantly decreased after drainage, serum total bilirubin was significantly decreased, preoperative total serum bilirubin was 228-518 μmol/L, and serum total bilirubin was 86-277 μmol/L in 1 week after surgery, with an average decrease of 198.6. Μmol/L. Liver function improved significantly, effectively improving the symptoms. Conclusion Ultrasound-guided percutaneous transhepatic biliary drainage is a safe, minimally invasive, simple and practical treatment for patients with malignant obstructive jaundice. It can significantly prolong survival time and improve quality of life in patients with malignant obstructive jaundice. Has good clinical value.