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报告左肝管定向穿刺胆管造影术的方法 ,试图避免传统右侧径路PTC的不足。方法 本组70例行左肝管定向穿刺胆管造影术 ,6 1例穿刺成功 ,成功率 87.14% ,手术证实无出血及胆漏并发症 ;9例中转右侧径路PTC或经皮肝穿刺胆囊造影术 ,中转率 12 .86 % ,其中 8例手术 ,术中发现不同程度出血和胆漏。结果总成功率 98.5 7% ,全组无住院死亡病例。结论 左肝管定向穿刺胆管造影术可作为PTC的首选方法 ,能有效防止出血和胆漏 ,但不能完全替代传统的右侧径路PTC等。
Report left hepatic duct orientation puncture cholangiography method, trying to avoid the traditional lack of PTC right footpath. Methods The group of 70 patients underwent left hepatic duct targeted puncture cholangiography, 61 cases of successful puncture, the success rate of 87.14%, confirmed by surgery without bleeding and biliary leakage complications; 9 cases of transit right PTC or percutaneous transhepatic cholecystography Surgery, the transfer rate of 12.86%, of which 8 cases of surgery, intraoperative findings of varying degrees of bleeding and bile leakage. Results The total success rate of 98.5 7%, all without hospitalized deaths. Conclusion Left hepatic duct targeted puncture cholangiopancreatography can be the first choice of PTC, which can effectively prevent bleeding and bile leakage, but can not completely replace the traditional right PTC.