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经皮肝穿刺胆道造影(PTC)在诊断阻塞性黄疸中具有重要意义。我院近二年来对24例阻塞性黄疸病人进行了PIC检查,获得满意效果,现报告如下。 1.临床资料 (1)一般资料 本组24例,男14例,女10例,年龄最小20岁,最大76岁。有黄疸者17例,血清胆红素在18～292μmol/L。发生黄疸时间在2天～3个月。无黄疸者7例。所有病人肝功能均有不同程度的损害。结果成功23例,其中3例肝外胆管结石和1例胆管癌未手术外,余20例经手术证实诊断。肝内、外胆管结石18例,胆管癌2例,壶腹部周围癌1例,肝外胆管外伤性狭窄2例,胆道蛔虫1例。
Percutaneous transhepatic cholangiography (PTC) is of great importance in the diagnosis of obstructive jaundice. In our hospital for the past two years, 24 patients with obstructive jaundice were examined by PIC, with satisfactory results, are as follows. 1. Clinical data (1) General Information The group of 24 patients, 14 males and 10 females, the youngest 20 years old, maximum 76 years old. Jaundice in 17 cases, serum bilirubin in 18 ~ 292μmol / L. Jaundice occurred in 2 days to 3 months. No jaundice in 7 cases. All patients have varying degrees of liver damage. Results of successful 23 cases, of which 3 cases of extrahepatic bile duct stones and 1 case of cholangiocarcinoma without surgery, the remaining 20 cases confirmed by surgery. Intrahepatic and extra-bile duct stones in 18 cases, 2 cases of cholangiocarcinoma, 1 case of periampullary carcinoma, extrahepatic bile duct stricture in 2 cases, 1 case of biliary ascariasis.